疤痕与非疤痕子宫再次妊娠二次剖宫的效果对比

Comparison of Effect of Second Cesarean Section of Scar Uterus and Nonscar Uterus Cesarean Section

目的对比疤痕与非疤痕子宫再次妊娠二次剖宫的临床效果。方法选取2015年11月至2018年11月于江苏省无锡市江阴临港医院治疗的30例疤痕子宫再次妊娠患者作为观察组,另选取同期30例非疤痕子宫剖宫产患者,两组产妇均实施二次剖宫产。比较两组产妇的术中出血量、盆腹腔粘连例数、术后出血量、恶露持续时间等手术指标。结果观察组产妇的术中出血量、盆腹腔粘连例数、术后出血量、恶露持续时间均小于对照组,组间比较差异有统计学分析意义(P<0.05)。结论疤痕子宫再次妊娠二次剖宫产的风险性较大,因此临床医生要全面把握孕产妇的情况,控制剖宫产率,随时做好二次剖宫产的准备,以便减少因剖宫产术导致的各种远期并发症。从而提高产妇的分娩安全性。

Objective To compare the clinical effect of secondary cesarean section of scar uterus with that of non-scar uterus.Methods From November 2015 to November 2018,30 cases of secondary pregnancy of scar uterus treated in our Jiangyin Second People's Hospital were selected as the observation group,and 30 cases of cesarean section of non-scar uterus were selected at the same period.The amount of intraoperative bleeding,the number of cases of pelvic and abdominal adhesion,the amount of postoperative bleeding and the duration of lochia were compared between the two groups.Results The amount of intraoperative blood loss,the number of cases of pelvic and abdominal adhesion,the amount of postoperative bleeding and the duration of lochia in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion The risk of second cesarean section of scar uterus is great,so clinicians should grasp the situation of pregnant and lying-in women comprehensively,control the rate of cesarean section,and prepare for second cesarean section at any time,so as to reduce the long-term complications caused by cesarean section.In order to improve the safety of parturient.