影响剖宫产后瘢痕子宫足月分娩结局的相关因素

Research on the related influence factors of the term delivery outcomes for patients with post-cesarean scarred uterus

目的研究影响剖宫产后瘢痕子宫足月分娩结局的相关因素。方法临床纳入152例本院2015年7月~2017年3月期间收治的剖宫产后瘢痕子宫孕产妇作为研究对象,观察分娩结局的不同。收集剖宫产后瘢痕子宫孕产妇一般资料进行分析,采用Logistic回归方程进行计算,探讨剖宫产后瘢痕子宫足月分娩结局的影响因素。结果 152例剖宫产后瘢痕子宫孕产妇经阴道分娩103例,占67.76%,再次剖宫产孕产妇49例,占32.24%。剖宫产后瘢痕子宫阴道分娩及再次剖宫产孕产妇在年龄、盆腔炎史、流产史、分娩孕周、胎次上差异有统计学意义(P<0.05)。将上述有差异资料带入Logistic回归方程计算,发现年龄、盆腔炎史、流产史、分娩孕周、胎次均是剖宫产后瘢痕子宫足月分娩结局的影响因素。结论剖宫产后瘢痕子宫足月分娩结局的影响因素较多,根据剖宫产后瘢痕子宫孕产妇实际情况选择合适分娩方式,有利于降低再次剖宫产率,改善分娩结局。

Objective To study the related influence factors of the term delivery outcomes for patients with post-cesarean scarred uterus. Methods After the Cesarean section, 152 patients with scarred uterus treated from July 2015 to March 2017 in our hospital were selected. The delivery outcomes were observed. According to the clinical data and Logistic regression equation, the related influence factors of the term delivery outcomes for patients with post-cesarean scarred uterus were investigated. Results There were 103 cases with vaginal delivery （67.76%）; the rate of repeated Cesarean section was 32.24% （49 cases）. The patient＇ s age, pelvic inflammation history, abortion history, gestational age and parity for vaginal delivery patients and repeated Cesarean section patients were significantly different （P〈0.05）; according to the Logistic regression equation analysis, it was found that the influence factors of the term delivery outcomes included the patient＇ s age, pelvic inflammation history, abortion history, gestational age and parity. Conclusion For patients with post-cesarean scarred uterus, there are multiple influence factors of the term delivery outcomes. According to the patient＇ s actual conditions, the proper delivery modes are good to reduce the rate of repeated Cesarean section and improve the delivery outcomes.