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目的:探讨临产后瘢痕子宫下段肌层厚度与妊娠结局的相关性。方法:选取2014年5月-2015年5月本院门诊接诊并住院的妊娠妇女,其中312例为瘢痕子宫孕妇,将其设为瘢痕组,并抽取305例非瘢痕子宫孕妇,将其设为非瘢痕组。对两组孕妇4个妊娠阶段的子宫下段肌层厚度进行测量,4个妊娠阶段包括第11~13周、第22~24周、第30~32周、第38~40周。同时对其中38~40周的105例瘢痕子宫孕妇及100例非瘢痕子宫进行随访,了解其分娩主要采取的方式和过程。结果:在4个妊娠阶段中,瘢痕组和非瘢痕组的子宫下段肌层厚度比较,差异无统计学意义(P>0.05)。两组产妇的阴道分娩情况比较,差异无统计学意义(P>0.05)。结论:需要把握好剖宫产指征,综合考虑后选择适当的厚度进行阴道分娩。
Objective: To investigate the correlation between the thickness of uterine myometrium and pregnancy outcome after labor. Methods: From May 2014 to May 2015, pregnant women admitted to our hospital and admitted to hospital were enrolled. Among them, 312 were pregnant women with scar uterus, and they were treated as scar group. 305 pregnant women with non-scarring uterus were selected, Non-scar group. The thickness of the myometrium in 4 gestational stages of the two groups of pregnant women was measured. The four pregnancy stages included the 11th to 13th weeks, the 22th to 24th weeks, the 30th to 32nd weeks and the 38th to 40th weeks. At the same time, 105 cases of uterus scar and 38 cases of non-scar uterus were followed up from 38 to 40 weeks to find out the main ways and process of delivery. Results: There was no significant difference in the thickness of myometrium between the scar group and the non-scar group at 4 gestational stages (P> 0.05). There was no significant difference in vaginal delivery between the two groups (P> 0.05). Conclusion: Cesarean section need to grasp the indications, considering the appropriate thickness after vaginal delivery.