瘢痕子宫再次妊娠结局分析

Outcome analysis of uterine scar pregnancy again

目的探讨分析瘢痕子宫再次妊娠结局。方法选择2010年9月至2011年9月,在河南省原阳县红十字医院住院的瘢痕子宫再次妊娠分娩者105例,对分娩方式、分娩结局及医疗费用进行回顾分析。再次剖宫产63例与随机抽取同期首次剖宫产63例进行对照比较分析。结果阴道试产组48例,试产率45.7%,42例试产成功,试产成功率为87.5%,6例阴道试产失败者均改行剖宫产,试产失败率为12.5%。结论瘢痕子宫是再次剖宫产终止妊娠的相对指征,具有阴道试产适应症者可在科学严密监护下进行阴道试产。

Objective To explore the outcome of uterine scar pregnancy again. Methods Choosed the patients with u- terine scar pregnancy again in our hospital from Nov. 2010 to Nov. 2011. Mode of delivery, birth outcomes, medical ex- penses were restrospectively analyzed. 63 patients with uterine scar pregnancy again and 63 patients with uterine scar pregnancy were eomparativly analyzed. Results Vaginal deliver group 48 cases, production rate was 45.7% , successful trial production 42 cases, successful trial production rate was 87.5%. 6 patients with failed of vaginal delivery used ab- dominal delivery, production failure rate was 12.5%. Conclusions Uterine scar is the relative indications of termination of pregnancy of repeat cesarean section. Patients with indication of vaginal delivery can be treated with vaginal delivery under scientific monitoring.