疤痕子宫再妊娠晚期肌层厚度与分娩结局的关系研究

Study on the Relationship between the Musculus Thickness and the Outcome of Childbirth in the Third Trimester of Scar Uterus

目的:对疤痕子宫再妊娠晚期肌层厚度与分娩结局的关系进行分析。方法:选取2017年底-2019年初在我院接受治疗妊娠晚期孕妇160例疤痕子宫孕妇进行研究,根据妊娠结局,分为病理性分娩患者48(包括胎膜早破、早产、前置胎盘、胎盘早剥),作为观察组,非病理性分娩112例,作为对照组。分别于14周、7月末、9月末三个时间点采用超声对子宫肌层厚度进行评价。结果:观察组患者在7月末、9月末肌层厚度显著变薄(P<0.05);观察组患者相关客观治疗指标差(P<0.05)。结论:通过检测疤痕子宫再妊娠晚期肌层厚度,对分娩结局进行预测,减少妊娠以及分娩并发症的发生,对保障母婴身体健康具有重要意义。

Objective: To analyze the relationship between the muscularis thickness and the outcome of childbirth in the third trimester of scar uterus. Methods: a total of 160 pregnant women with scar uterine who received treatment in our hospital from the end of 2017 to the beginning of 2019 were selected for the study. According to the pregnancy outcome, they were divided into 48 patients with pathological labor(including premature rupture of membranes, premature delivery, placenta previa, and placental abruption), as the observation group, and 112 cases of non-pathological labor, as the control group. The myometrium thickness was evaluated by ultrasonography at 14 weeks, the end of July and the end of September. Results: the patients in the observation group were significantly thinner at the end of July and the end of September ( P <0.05). The clinical indicators of the observation group were poor( P < 0.05 ).Conclusion: it is of great significance for protecting the health of mother and baby to predict the outcome of pregnancy and reduce the occurrence of pregnancy and complications by detecting the myolayer thickness of scar uterus in the third trimester of pregnancy.