127例瘢痕子宫妊娠再次剖宫产的并发症状况分析研究

Analysis of complications of cesarean section again in 127 cases of scar uterine pregnancy

目的探讨瘢痕子宫妊娠再次剖宫产的并发症状况。方法选择我院2018年6~12月收治的127例瘢痕子宫妊娠产妇作为观察组,选择我院同期分娩的127例二次妊娠初次选择剖宫产产妇作为对照组。观察比较两组产妇并发症发生情况、手术指标、新生儿体质量及Apgar评分等结局。结果观察组并发症发生率为52.76%,显著高于对照组的18.90%(χ^2=31.662,P=0.000);术中出血量(239.76±21.35)mL、手术时间(62.37±8.60)min、分娩时间(16.31±4.77)min,均显著高于对照组(t=27.710,P=0.000;t=14.632,P=0.000;t=13.922,P=0.000);两组恶露时间、新生儿体质量及Apgar评分比较未见统计学差异(P>0.05)。结论瘢痕子宫妊娠再次剖宫产的手术并发症较多,不良妊娠结局发生率较高。建议采取积极对症干预措施,降低围产风险,改善母婴结局。

Objective To investigate the complications of cesarean section again in scar uterine pregnancy.Methods 127 cases of scar uterine pregnancy in our hospital from June to December 2018 were selected as the observation group.And 127 cases of second pregnancy in our hospital who chose cesarean section for the first time were selected as the control group at the same period.The outcomes of maternal complications,surgical indexes,neonatal body weight,and Apgar scores were compared between the two groups.Results The incidence of complications in the observation group was 52.76%,which was significantly higher than 18.90%in the control group(χ^2=31.662,P=0.000).The intraoperative blood loss was(239.76±21.35)mL,the operation time was(62.37±8.60)min,and the delivery time was(16.31±4.77)min,significantly higher than those of the control group(t=27.710,P=0.000;t=14.632,P=0.000;t=13.922,P=0.000).The differences in lochia time,neonatal body weight and Apgar score between the two groups were not statistically significant(P>0.05).Conclusion There are more complications of cesarean section again in scar uterine pregnancy,and the incidence of adverse pregnancy outcome is high.It is recommended to take active symptomatic interventions to reduce perinatal risk and improve maternal and child outcomes.