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目的:探讨剖宫产子宫瘢痕部妊娠(CSP)发病的相关因素。方法:回顾性分析53例剖宫产瘢痕部妊娠患者的临床资料,并随机选取同期53例瘢痕子宫、宫内早孕患者作为对照组,比较两组孕产史、前次剖宫产情况、距前次剖宫产时间与CSP发生的关系。结果:53例CSP患者人工流产≥2次38例(71.7%),剖宫产≥2次16例(30.2%),单层缝合方式30例(56.6%),人工胎盘剥离术12例(22.6%),臀位剖宫产17例(32.1%),距前次剖宫产时间≤5年37例(69.8%),各因素发生率明显高于对照组(P<0.05)。结论:人工流产史、多次剖宫产史、子宫切口缝合方式、人工胎盘剥离术、臀位剖宫产、距前次剖宫产时间≤5年是CSP发病的相关因素,应严格掌握剖宫产指征,提高子宫切口缝合技术,积极防治妇科炎症,加强宣传避孕知识,减少人流术。
Objective: To investigate the related factors of cesarean section scar pregnancy (CSP). Methods: The clinical data of 53 cases of cesarean scar pregnancy were retrospectively analyzed. Fifty-three cases of scarring uterus and early pregnancy in the same period were randomly selected as the control group. The gestational age, previous cesarean section, Relationship between previous cesarean section time and CSP occurrence. Results: In 53 cases of CSP, 38 cases (71.7%) had induced abortion more than 2 times, cesarean section≥2 times (30.2%), 30 cases (56.6%) with single layer suture and 12 cases 17 cases (32.1%) had breech cesarean section, 37 cases (69.8%) were less than 5 years before cesarean section, the incidence of each factor was significantly higher than that of the control group (P <0.05). Conclusion: The history of induced abortion, repeated history of cesarean section, uterine incision suture, artificial placenta dissection, cesarean section of the buttocks, cesarean section from the previous time ≤ 5 years is related to the incidence of CSP should be strictly controlled dissection Obstetrics and Gynecology indications, improve the uterine incision suture technique, and actively prevent gynecological inflammation, strengthen awareness of contraceptive knowledge and reduce abortion.