阴道试产中转剖宫产术56例愈后临床分析

Clinical analysis of prognosis of vaginal delivery transfering to cesarean section in 56 cases

目的:探讨阴道试产对产妇剖宫产结局的影响及不良预后的防治方法。方法:收治阴道试产失败中转剖宫产患者56例,收治择期剖宫产患者85例,比较两组手术时间,术中出血量,术后发热、腹胀、切口愈合情况,及术后肛门排气时间,新生儿出生后Apgar评分,术后住院天数。结果:阴道试产组手术切口感染率、产褥感染率、术后腹胀率明显增加,肛门排气时间延长,平均术后住院天数增加(P<0.05)。结论:阴道试产失败中转剖宫产可导致术后近期并发症及不良预后明显增加。

Objective:To investigate the effect of vaginal delivery on the outcome of maternal cesarean section and the methods of prevention and treatment of adverse prognosis.Methods:56 patients with cesarean section after the failer of vaginal delivery were selected.85 patients with elective cesarean section were selected.We compared the operation time,bleeding volume,postoperative fever,abdominal distension,wound healing,postoperative anal exhaust time,neonatal Apgar score,postoperative length of hospital stay of the two groups.Results:In trying vaginal delivery group,incision infection rate,rate of puerperal infection,postoperative abdominal distension rate were significantly increased,anal exhaust time was prolonged and the average postoperative hospital stay was increased(P<0.05).Conclusion:Transfering to cesarean section after the failer of vaginal delivery can increase the postoperative complications and adverse prognosis.