剖宫产与经阴道分娩对瘢痕子宫再次妊娠结局的影响比较

Comparison of the Effects of Cesarean Section and Vaginal Delivery on the Outcome of Uterine Scar Pregnancy

目的 对比分析剖宫产与经阴道分娩对瘢痕子宫再次妊娠结局的影响。方法 回顾性分析我院2013年1月~2015年12月63例瘢痕子宫再次妊娠产妇的临床资料,总结其妊娠结局。结果 20例试阴道分娩患者仅5例阴道分娩成功,术后0例感染;15例试阴道分娩失败转急诊剖宫的产妇,术后1例（13.33%）产妇感染;43例择期剖宫产组的产妇术后2例（2.38%）产妇感染,急诊剖宫产组术后感染率高于阴道分娩组和择期分娩组（P〈0.05）,三组产妇两两组间比较新生儿Apgar评分差异无统计学意义（P〉0.05）。结论 经阴道分娩失败急转剖宫产产妇术后感染风险较大,但经阴道分娩产妇术后感染率和新生儿Apgar评分最好。

Objective To compare the effect of cesarean section and vaginal delivery on the outcome of uterine scar pregnancy. Methods 121 cases of uterine scar pregnancy were chosen in our hospital from January 2013 to December 2015, and their clinical data were retrospective analysis to summarize their pregnancy outcomes. Results 20 cases of vaginal delivery in patients with only 5 cases of vaginal delivery was successful and 0 cases of postoperative infection, 15 cases of trial vaginal delivery failed transfer of emergency cesarean section maternal, after operation, 1 case（13.33%） maternal infection. Of the 43 cases of elective cesarean section group of maternal postoperative in 2 cases（2.38%） maternal infection and emergency cesarean section group infection rate is higher than that in vaginal delivery group and selective delivery group（P0.05）, three groups of maternal pairwise between groups comparison Apgar score between the no statistical significance（P0.05）. Conclusion After vaginal delivery failure sharp cesarean section parturients with infection risk is bigger, but after childbirth of vagina infection rate and neonatal Apgar score best.