疤痕子宫与非疤痕子宫产妇行剖宫产的临床效果对比评价

Comparative Evaluation of Clinical Effects of Cesarean Section With Scar Uterus and Non Scar Uterus

目的探究疤痕子宫剖宫产与非疤痕子宫剖宫产的临床情况。方法抽取2015年1月—2016年12月我院收治的120例再次妊娠剖宫产孕妇,其中60例为疤痕子宫孕妇(实验组),另外60例为非疤痕子宫孕妇(常规组),对比两组孕妇的妊娠结局、并发症情况等。结果实验组孕妇术中出血量为(436.20±204.52)ml,手术时间为(72.52±22.21)min,相比常规组均差异有统计学意义,P<0.05;实验组发生子宫不完全破裂的有6例,常规组有1例,差异有统计学意义,P<0.05;实验组新生儿窒息发生率为6.67%,常规组为1.67%,差异有统计学意义,P<0.05。结论对于疤痕子宫再次妊娠剖宫产孕妇来说,其术后容易出现相关的并发症,妊娠结局不良,进行剖宫产需要承担较大的风险。

Objective To investigate the clinical situation of cesarean section and non scar uterus cesarean section. Methods From January 2015 to December 2016, 120 cases of cesarean section pregnant women were treated in our hospital, 60 of them were scarred uterus pregnant women（experimental group）, other 60 cases were non scar uterus pregnant women（routine group）, pregnancy outcomes and complications of the two groups were compared. Results The intraoperative bleeding volume of the experimental group was（436.20±204.52） ml, and the operation time was（72.52±22.21） min, compared with the conventional group, the difference was statistically significant, P〈0.05; There were 6 cases of incomplete rupture of uterus in the experimental group, 1 case in the routine group, the difference was statistically significant, P〈0.05; The incidence of neonatal asphyxia was 6.67% in experimental group and 1.67% in routine group, the difference was statistically significant, P〈0.05. Conclusion For scar uterus, re pregnancy, cesarean section, pregnant women, postoperative complications are easy to occur, pregnancy outcome is not good, and cesarean section needs to take greater risks.