摘要
目的 对瘢痕子宫妊娠分娩方式进行观察与探讨。方法 对2011年12月到2014年12月期间在我院接受治疗的400例瘢 痕子宫妊娠患者进行临床的相关研究,选取同时期我院所收治的100例正常妊娠者作为对照组,分析患者的分娩 方式。结果 剖宫产组瘢痕子宫妊娠患者(75.00%)明显高于阴道试产组患者(25.00%),组间差异明显(P<0.05), 剖宫产组瘢痕子宫妊娠患者的分娩过程出血量为(204.69±59.37)mL,明显高于阴道分娩对照组和阴道试产组的 (143.25±32.15)mL和(157.24±36.28)mL,组间差异明显(P<0.05)。结论 对瘢痕子宫妊娠患者分娩方式的选择需 谨慎,应根据患者的妊娠条件和指证进行慎重选择。
Objective To observe and discuss the uterine scar pregnancy and mode of delivery. Methods A relevant clinical study on 400 cases of patient with scar uterine pregnancy treated in our hospital from Dec. 2011 to Dec. 2014 were conducted, 100 cases of normally pregnant people were selected as a control group, and the delivery mode was analyzed. Results The patients with scar uterine pregnancy (75.00%) in the cesarean delivery group were clearly higher than the ones in the Vaginal trial production group (25.00%), the inter-group difference was significant (P<0.05), the bleeding amount of the patients with scar uterine pregnancy in the cesarean delivery group during delivery was (204.69±59.37)mL, which was clearly higher than that of patients in the vaginal delivery control group and Vaginal trial production group, which were respectively (143.25±32.15)mL and (157.24±36.28)mL, the inter-group difference was significant(P<0.05). Conclusion The delivery mode selection need to be cautious in patients with uterine scar, which should be based on the patient's pregnancy condition and testify.
【关键词】瘢痕子宫;妊娠;分娩方式;研究
【中图分类号】R719.8
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2016.03.007
前言
近几年,我国剖宫产产妇的人数逐渐增加,子宫 肌瘤病患者也逐渐趋于年轻化,存在瘢痕子宫的患者 再次妊娠人数增多,对患者的分娩方式选择是临床产 科的重要问题[1-2]。本文对瘢痕子宫妊娠分娩方式进 行相关的研究及探讨,所研究的相关结果报道如下。
罕少疾病杂志
第23卷, 第 4 期
2019年11月
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