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目的:探讨疤痕子宫再次妊娠分娩方式的相关研究,从而降低剖宫产的发生率。方法:选择于从2013年1月1日到2015年12月31日于我院分娩的100例患有疤痕子宫再次妊娠的孕产妇进行回顾性研究。通过分析结果来比较阴道试产产妇与剖宫产产妇的分娩结局,以及一些产后并发症等。结果:在这100例孕产妇中,其中有72例选择的是剖宫产,28例选择的阴道试产,试产率为28%,最终有22例产妇顺利经阴道分娩,试产成功率为78.5%,6例失败后立即实行急诊剖宫产。最终一共有总共78例行剖宫产。经过观察研究,阴道分娩组的产妇不良情况相较于剖宫产组的产妇要好很多,很少出现出血、感染等状况,差异有统计学意义(P<0.05)。结论:阴道试产分娩在疤痕子宫再次妊娠的分娩中相较于剖宫产来说具有很大的优势,但一定要记得按照适应证选择应用。具有很大的临床推广价值。
Objective: To investigate the correlation between scar pregnancy and uterine pregnancy again delivery mode, so as to reduce the incidence of cesarean section. METHODS: A retrospective study of 100 pregnant women with scarring uterine re-pregnancies who were delivered in our hospital from January 1, 2013 to December 31, 2015 was retrospectively reviewed. Through the analysis of the results to compare vaginal preterm labor and cesarean section of the delivery of labor outcomes, as well as some postpartum complications. Results: In these 100 cases of maternal, 72 of them chose cesarean section, 28 cases of vaginal trial production, the trial yield was 28%, and finally 22 maternal successful vaginal delivery, trial success rate 78.5%, emergency cesarean section after 6 cases of failure. A total of 78 routine cesarean section. After observing and researching, the maternal adverse condition in the vaginal delivery group is much better than the maternal in the cesarean section group, and there are seldom bleeding and infection. The difference is statistically significant (P <0.05). CONCLUSIONS: Vaginal trial delivery has a great advantage over cesarean delivery in the delivery of a second pregnancy to a scar, but it must be remembered that it should be chosen and applied in accordance with the indications. Has a great clinical value.