瘢痕子宫妊娠分娩方式的选择

Selection of mode of delivery for women with scar uterine pregnancy

目的探讨瘢痕子宫不同的分娩方式对产妇的作用和影响，根据不同情况选择最优化的分娩方式，最大限度降低瘢痕子宫妊娠分娩的不利因素。方法回顾性分析349例瘢痕组织住院分娩患者，用SPSS统计不同分娩方式对产妇的影响。结果其中剖宫产192例，阴道试产157例，成功133例，成功率为84．7％。试产成功组和剖宫产组的出血量、住院天数等进行对比，试产组明显较低，比较有统计学意义（P〈0．05）。结论剖宫产不是瘢痕子宫的必经之路，在合理条件下进行试产是安全可靠的。

Objective To explore the effects of different modes of delivery in women With scar uterine pregnancy, to choose the best mode according to different situations, and to minimize the unfavorable factors of scar uterine pregnancy. Methods The data on 349 pregnant women with scar uterus who had given childbirth were retrospectively analyzed. The SPSS was used to assess the effects of different modes of delivery on these women. Results 192 women received Cesarean section and 157 received try of, 133 of whom succeeded in delivery, with a rate of 84.7%. Length of hospital stay was shorter and amount of bleeding was smaller in vaginal delivery group than in Cesarean section group, with a statistical significance. Conclusions Cesarean section scar uterus is not the only mode of delivery in women with scar uterus. Try of vaginal delivery is safe and reliable under reasonable conditions.