瘢痕子宫再次剖宫产与非瘢痕子宫剖宫产手术的对比研究

Comparative study of recesarean section with scarred uterus and non-scarred uterus with cesarean section

目的:研究瘢痕子宫再次剖宫产与非瘢痕子宫剖宫产手术的效果。方法:2018年1月-2020年12月收治剖宫产产妇160例,其中80例瘢痕子宫再次剖宫产产妇纳入瘢痕组,80例非瘢痕子宫剖宫产产妇纳入非瘢痕组。比较两组产妇剖宫产具体情况。结果:瘢痕组术中出血量、术后出血量、手术用时、分娩用时、恶露持续时间及并发症发生率均明显高于非瘢痕组,差异有统计学意义(P<0.05)。结论:具有瘢痕子宫因素的产妇进行剖宫产手术,不仅术中和术后出血量较多,而且手术用时和恶露持续时间较长,产妇也容易出现多种并发症。因此,对于一些不具备指征的剖宫产,必须加大临床控制力度,以降低瘢痕子宫再次剖宫产的发生率。

Objective:To study the effect of recesarean section with scarred uterus and non-scarred uterus with cesarean section.Methods:From January 2018 to December 2020,160 cases of cesarean section were selected,of which 80 cases of cesarean section with scarred uterus were included in the scar group.The other 80 cases of non-scarred uterine cesarean section were included in the non-scar group.The specific conditions of cesarean section of the two groups were compared.Results:The amount of intraoperative blood loss,postoperative blood loss,operation time,delivery time,lochia duration,and complication rate in the scar group were significantly higher than those in the non-scar group,the differences were statistically significant(P<0.05).Conclusion:The cesarean section for parturients with scarred uterus causes not only more intraoperative and postoperative blood loss,but also longer operation time and lochia duration,and the parturients are also prone to multiple complications.Therefore,for some unindicated cesarean sections,it is necessary to increase clinical control efforts to reduce the incidence of re-cesarean section with scarred uterus.