瘢痕子宫妊娠经阴道分娩30例临床探究

Clinical study on 30 cases of scar uterus pregnancy with vaginal delivery

目的分析瘢痕子宫妊娠经阴道分娩的临床结果。方法 60例瘢痕子宫妊娠分娩产妇,应用随机数字表法分为研究组与对照组,每组30例。对照组产妇采取剖宫产方式完成产程,研究组产妇经专业阴道试产安全评估后,实施经阴道分娩。比较两组产妇的围生期临床指标、新生儿相关指标。结果研究组产妇的产后出血量、住院天数、住院费用均优于对照组,差异均具有统计学意义(t=15.504、8.219、35.719,P<0.05)。两组新生儿体质量、新生儿Apger评分、新生儿窒息率比较,差异均无统计学意义(P>0.05)。研究组产妇产后并发症发生率为3.33%,低于对照组的26.67%,差异具有统计学意义(P<0.05)。结论瘢痕子宫妊娠产妇经阴道分娩,产妇住院时间少,并发症少,在符合阴道分娩指征的前提下相对安全,妊娠结局良好,值得临床推广应用。

Objective To analyze the clinical effect of vaginal delivery of scar uterine pregnancy.Methods A total of60scar uterus pregnancy patients with vaginal delivery were divided by random number table method into research group and control group,with30cases in each group.The control group received cesarean section to complete the birth process,and the research group received vaginal delivery after safety assessment of professional vaginal delivery.Comparison were made on perinatal clinical indicators,neonatal related indicators in two groups.Results The research group had better postpartum hemorrhage,hospitalization time,hospitalization costs than the control group,and their difference was statistically significant(t=15.504,8.219,35.719,P<0.05).Both groups had no statistically significant difference in neonatal body mass,neonatal Apger score,neonatal asphyxia rate(P>0.05).The research group had lower incidence of postoperative complications as3.33%than26.67%in the control group,and the difference was statistically significant(P<0.05).Conclusion Vaginal delivery of scarred uterus pregnant women has advantages of less maternal hospitalization time and fewer complications,and it is safe to meet the indications of vaginal delivery with good pregnancy outcome.It is worthy of clinical promotion and application.