瘢痕子宫再次妊娠剖宫产与非瘢痕子宫剖宫产的临床效果分析

Clinical Analysis of Cesarean Section in Cesarean Section and Non-scar Uterine Cesarean Pregnancy

目的探讨剖宫产手术用于瘢痕子宫再次妊娠患者与非瘢痕子宫患者临床效果的差异。方法将2016年7—12月期间该院收治的100例行剖宫产术患者纳入该次研究,按照子宫瘢痕情况将其分成瘢痕子宫组(n=50)和非瘢痕子宫组(n=50),对两组患者分别实施相应的剖宫产手术,观察其术中情况、术后情况、盆腔粘连情况、子宫状况及胎盘情况。结果瘢痕子宫组剖宫产患者接受手术治疗后的胎盘粘连发生率(16.00%)、术中出血量(205.79±38.34)mL、手术时间(50.20±11.70)min、产后出血量(410.00±138.75)mL、恶露持续时间(40.13±13.35)d与非瘢痕子宫组相比(4.00%)、(108.50±26.33)mL、(35.50±11.51)min、(250.00±50.56)mL、(26.67±9.17)d,数据对比差异有统计学意义(P<0.05)。结论相较于非瘢痕子宫患者,瘢痕子宫再次妊娠患者实施剖宫产术的危险性较高,不良反应发生率明显提升。

Objective This paper tries to investigate the clinical effect of cesarean section in patients with scar uterine re-pregnancy and non-scar uterine.Methods 100 patients underwent cesarean section from July to December 2016 were included in this study.They were divided into scar uterine group(n=50)and non-scar uterine group(n=50)according to the situation of uterine scar.The corresponding cesarean section was performed on the two groups.The intraoperative condition,postoperative condition,pelvic adhesions,uterine condition and placenta were observed.Results The incidence of placental adhesions was 16.00%,intraoperative blood loss was(205.79±38.34)mL,operation time was(50.20±11.70)min,postpartum hemorrhage was(410.00±138.75)mL,lochia duration time was(40.13±13.35)d,and those in the non-scar uterine group were 4.00%,(108.50±26.33)mL and(35.50±11.51)min,(250.00±50.56)mL,(26.67±9.17)d,the data showed a significant difference(P<0.05),indicating a statistically significant difference between the two groups(P<0.05).Conclusion Compared with non-scar uterine patients,the risk of cesarean section was higher in patients with scarring uterine pregnancy and the incidence of adverse reactions was significantly improved.