瘢痕子宫再次足月妊娠产妇使用宫颈球囊促宫颈成熟的临床观察

目的 观察宫颈球囊用于瘢痕子宫再次足月妊娠产妇促宫颈成熟的临床效果。方法选取我院2015年5月至2017年5月收治的瘢痕子宫再次足月妊娠产妇40例，将这些产妇作为瘢痕子宫组，另选取我院同期收治的非瘢痕子宫再次足月妊娠产妇40例作为非瘢痕子宫组，对2组产妇的宫颈Bishop评分、促宫颈成熟疗效、妊娠结局、经阴道分娩情况及不良反应发生情况进行统计分析。结果2组患者宫颈Bishop评分变化情况、促宫颈成熟疗效、妊娠结局等差异无统计学意义（P>0.05）。瘢痕子宫组产妇经阴道分娩率（62.5%）显著低于非瘢痕子宫组（82.5%）（P<0.05），不良反应发生率（5.0%）显著高于非瘢痕子宫组（P<0.05）。结论宫颈球囊用于瘢痕子宫再次足月妊娠产妇促宫颈成熟的临床效果良好，值得在临床推广。

Objective To observe the clinical effect of cervical balloon used for pregnant women with scar uterus again term pregnancy.Methods40cases of pregnant women with scar uterus again term pregnancy in our hospital from May2015to May2017were selected,they were regarded as scar uterine group,another40cases of were pregnant women without scar uterus again term pregnancy in our hospital in the same period were selected as non scar uterine group,the cervical Bishop scores,cervical ripening effects,pregnancy outcomes,vaginal delivery,incidences of adverse reactions of the two groups were statistically analyzed.Results The vaginal delivery rate of the scar uterine group62.5%(25/40)was significantly lower than the non scar uterine group82.5%(33/40)(P<0.05),the incidence of adverse reactions5%(2/40)was significantly higher than the non scar uterine group0(P<0.05).Conclusion The clinical effect of cervical balloon used for pregnant women with scar uterus again term pregnancy is good,so is worthy of promotion in the clinical.