52例疤痕子宫妊娠分娩方式的临床研究

The clinical research of uterine scar pregnancy childbirth mode in 50 cases

目的分析研究疤痕子宫妊娠不同的分娩方式对产妇的影响,选择其合理的分娩方式。方法回顾性分析2004年11月至2012年11月期间我科收治的52例剖宫产术后疤痕子宫妊娠患者的临床资料,观察不同分娩方式的临床疗效。结果阴道分娩27例,占51.92%,再次剖宫产25例,占48.08%。阴道分娩组的新生儿评分与剖宫产组无统计学差异(P>0.05)。剖宫产组的产后并发症发生率、住院时间都明显高于阴道分娩组(P<0.05)。结论疤痕子宫再次妊娠并非是剖宫产的绝对指征,符合试产条件的,在严密观察监护下是可以经阴道试产的。

Objective To observe the impact of different delivery methods on the matemal having the uterus with a scar and seek its reasonable modes of delivery.Methods A retrospective analysis of clinical data was conducted in 52 patients with scar uterogestation who were admitted in our hospital from March 2011 to March 2012.Results Among 52 patients,27 cases were vaginal delivery,with the rate of 51.92%,25 cases were repeat cesarean section,with the rate of 48.08%,there were no significant differences of Apgar score between the two groups（P〈0.05）,and there were significant differences of the postnata complication and hospitalization duration between the two groups（P〈0.05）.Conclusion The uterus with scars can not serve as indications of the cesarean section,the one in line for the vaginal delivery should be given full opportunity to trial production,which will reduce complication of cesarean section rates and reduce complications of cesarean section,having a great significance.