宫颈球囊用于瘢痕子宫再次足月妊娠产妇促宫颈成熟的效果分析

Effect of cervical balloon on cervical ripening in full-term gestational women with previous cesareans

目的:探讨宫颈球囊用于瘢痕子宫再次足月妊娠促宫颈成熟的临床效果和安全性。方法:选择本院产科拟经阴道分娩的瘢痕子宫足月妊娠孕妇45例作为观察组,有引产指征的非瘢痕子宫足月妊娠孕妇45例作为对照组,两组均使用宫颈球囊扩张器促宫颈成熟并引产,对比分析两组促宫颈成熟的效果、阴道分娩率、产程、妊娠结局及不良反应。结果:采用宫颈球囊促宫颈成熟的有效率观察组为80%,对照组为85%,差异无统计学意义(P>0.05);观察组阴道分娩成功率(62%)低于对照组(82%);观察组中有2例出现不良反应,两组比较有统计学差异(P<0.05);两组在产程、妊娠结局等方面无统计学差异(P>0.05)。结论:宫颈球囊用于瘢痕子宫再次足月妊娠产妇促宫颈成熟的临床效果肯定,值得临床应用。

Objective：To explore the clinical effect and safety of cervical balloon on induction of cervical maturation in full-term gestational women with previous cesareans.Methods：Forty-five full-term gestational women with scar uterus were recruited as the experimental group and 45full-term pregnancy women without scar uterus as the control group.Women in both groups used cervical ripening balloon for preinduction of cervical ripening and labor induction.The degree of cervical ripening,vaginal delivery rate,and stages of labor,delivery outcome and adverse reactions between two groups were compared respectively.Results：There were no significant difference in the efficiency of inducing cervical maturation between the two groups（80% vs.85%,P〉0.05）.The vaginal delivery rate in the experimental group was lower than that of the control group（62%vs.82%,P〈0.05）.Adverse reaction was found in two cases of the experimental group,and there was no significant difference between two groups（P〈0.05）.There were no significant differences in stages of labor and pregnancy outcome between two groups（P 0.05）.Conclusion：The effect of cervical ripening balloon on induction of cervical maturation in full-term gestational women with or without previous cesareans is valuable and worth clinical application.