疤痕子宫再次妊娠二次剖宫产与非疤痕子宫剖宫产的比较分析

Comparative Analysis on Repeated Cesarean Section with Scar Uterus for Secondary Pregnancy and Cesarean Section with Non-Scar Uterus

目的分析比较疤痕子宫再次妊娠二次剖宫产与非疤痕子宫剖宫产的手术指标和术后情况。方法选择2016年3月至2017年3月在我院就诊的疤痕子宫再次妊娠二次剖宫产产妇50例作为实验组,非疤痕子宫剖宫产产妇50例作为对照组,比较两组产妇的剖宫产指征、手术指标及术后情况。结果实验组产妇的剖宫产指征与对照组产妇相比具有统计学差异(P<0.05);对照组产妇的手术指标及术后情况显著优于实验组,差异具有统计学意义(P<0.05)。结论疤痕子宫再次妊娠产妇面临的二次剖宫产风险较非疤痕子宫初次剖宫产高,在临床选择分娩方式时,要结合多方面因素进行考虑,明确阴道分娩和剖宫产的禁忌证和适应证,还需要对产妇和家属进行健康宣教,避免社会因素对产妇分娩方式选择的影响。

Objective To compare and analyze the operation related indicators and postoperative conditions of repeated cesarean section with scar uterus for secondary pregnancy and cesarean section with non-scar uterus. Methods 50 cases of secondary pregnant women with scar uterus who received repeated cesarean section in our hospital from March 2016 to March 2017 were selected as experimental group, and 50 cases of pregnant women who received cesarean section with non-scar uterus were selected as control group. The indications of cesarean section, operation indicators and postoperative conditions were compared between the two groups. Results The cesarean section indications of the experimental group were statistically different from those of the control group （P〈0.05）. The operation indicators and postoperative conditions of the control group were significantly better than those of the experimental group, with statistical difference （P〈0.05）. Conclusions Secondary pregnant women with scar uterus has higher risk of cesarean section than pregnant women with non-scar uterus. Many factors should be taken into consideration when choosing the delivery way in clinic, and clinicians should know clearly the indications and contraindications of vaginal delivery and cesarean section. Meanwhile, health education to puerperae and relatives should be carried out to avoid the influence of social factors on the choice of delivery mode.