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目的:对瘢痕子宫再次妊娠阴道试产的可行性和安全性进行观察和探讨。方法:回顾分析70例患者的临床资料。结果:70例瘢痕子宫再次妊娠中分娩方式选择阴道试产41例,阴道试产率58.6%,阴道成功分娩26例,成功率63.4%,结果:阴道分娩率37.1%;剖宫产44例,剖宫产率62.8%。本组剖宫产、阴道分娩均未出现母婴不良状况。结论:应严格把握剖宫产的手术指征,有剖宫产指征就再次选择剖宫产;瘢痕子宫并非再次剖宫产的绝对指征,如果瘢痕子宫再次妊娠没有明显的剖宫产手术指征,可给予孕妇试产机会,降低剖宫产率。生产过程中,尽早发现胎儿窘迫及先兆子宫破裂,及早改行剖宫产术,以保障母婴安全。
Objective: To observe and discuss the feasibility and safety of vaginal trial of scar pregnancy again. Methods: The clinical data of 70 patients were retrospectively analyzed. Results: In the 70 cases of scar pregnancy, vaginal delivery was performed in 41 cases of vaginal delivery. The vaginal delivery rate was 58.6%. Successful vaginal delivery was performed in 26 cases with a success rate of 63.4%. Results: 37.1% of vaginal delivery rate, 44 cases of cesarean section, Cesarean section rate of 62.8%. This group of cesarean section, vaginal delivery did not appear maternal and infant adverse conditions. Conclusions: Cesarean section indications should be strictly controlled, and cesarean section should be selected again for indications of cesarean section. Scarring uterus is not an absolute indication of cesarean section again. If there is no obvious cesarean section after scar pregnancy, Indications, pregnant women may give trial opportunities, reduce cesarean section rate. The production process, as soon as possible to find fetal distress and threatened uterine rupture, cesarean section as early as possible switch to protect the safety of mother and baby.