68例瘢痕子宫产妇再次妊娠的分娩方式选择探讨

Study on the Choice of Delivery Mode of 68 Pregnant Women with Scar Uterus

目的:探讨68例瘢痕子宫产妇再次妊娠的分娩方式选择。方法:主要的研究对象为某院于2015年9月~2016年9月收治的剖宫产后瘢痕子宫妊娠妇女行剖宫产34例作为对照组,选取同期内剖宫产后瘢痕子宫妊娠妇女经阴道自然分娩34例作为研究组,对两组患者的生产结局进行分析和对比。结果:研究组在24h出血量、生儿窒息率、并发症发生率、住院时间短等方面均优于对照组(P<0.05),有统计学意义。讨论:对于剖宫产后瘢痕子宫妊娠妇女来说,选择经阴道分娩方式更具安全性,可行性更高。

Objective： To explore the choice of delivery mode of 68 cases of pregnant women with scar uterus. Methods： 34 cases with scar cesarean uterine undergoing cesarean section in a hospital from September 2015 to September 2016 were taken as the main research as control group, 34 cases with cesarean scar uterine undergoing vaginal delivery during the same period as study group. The results of the two groups were analyzed and compared. Results： The study group was better than the control group （P〈0.05） in the amount of bleeding in 24h, asphyxia of newborn, complication rate, short hospital stay and so on. Conclusion： For cesarean scar pregnancy women, vaginal delivery is more safe and feasible.