非瘢痕子宫与瘢痕子宫再次剖宫产情况及妊娠结局分析
[摘要]目的 分析非瘢痕子宮与瘢痕子宫再次剖宫产情况及妊娠结局。方法 选取2016年4月～2018年3月我院收治的114例瘢痕子宫再次妊娠孕妇作为观察组，另选取同期126例非瘢痕子宫剖宫产孕妇作为对照组。比较两组的新生儿结局、术中及产后情况、并发症发生情况。结果 观察组的新生儿体重和新生儿阿氏(Apgar)评分低于对照组，差异均有统计学意义(P<0.05);观察组的术中出血量和产后出血量多于对照组，手术时间和住院时间长于对照组，产后发热发生率高于对照组，切口甲级愈合率低于对照组，差异均有统计学意义(P<0.05);观察组的产后出血、子宫破裂、子宫切除、盆腔粘连、前置胎盘及胎盘植入发生率高于对照组，差异均有统计学意义(P<0.05)。结论 瘢痕子宫再次剖宫产的新生儿结局和术中、产后的情况较差，并发症发生率较高，临床医师应对产妇加强宣传教育，鼓励产妇选择阴道分娩。
[关键词]瘢痕子宫;非瘢痕子宫;再次剖宫产;妊娠结局;术后并发症
[中图分类号] R719.8 [文献标识码] A [文章编号] 1674-4721(2020)2(c)-0116-03
Analysis of re-cesarean section and pregnancy outcome in non-scarred uterus and scar uterus
ZHANG Lu-lan
Department of Obstetrics and Gynecology， Jingdezhen First People′s Hospital of Jiangxi Province， Jingdezhen 333000， China
[Abstract] Objective To analysis of re-cesarean section and pregnancy outcome in non-scarred uterus and scar uterus. Methods A total of 114 pregnant women with scarred uterine pregnancy who were admitted to our hospital from April 2016 to March 2018 were selected as the observation group， and 126 non-scarred cesarean women who were pregnant during the same period were selected as the control group. The neonatal outcomes， intraoperative and postnatal conditions， and complications were compared between the two groups. Results The neonatal weight and Apgar score in the observation group were lower than those in the control group， the differences were statistically significant (P<0.05). The amount of intraoperative and postpartum hemorrhage in the observation group was more than that in the control group， the operation time and hospital stay were longer than those in the control group， the incidence of postpartum fever was higher than that in the control group， and the rate of incision healing was lower than that in the control group， the differences were statistically significant. (P<0.05). The incidence of postpartum hemorrhage， uterine rupture， hysterectomy， pelvic adhesions， placenta previa and placenta implantation in the observation group was higher than that in the control group， the differences were statistically significant (P<0.05). Conclusion The outcome of neonatal scar cesarean section and the situation during and after the operation are worse， and the incidence of complications is higher. Clinicians should strengthen the propaganda and education of pregnant women and encourage them to choose vaginal delivery.
[Key words] Scar uterus; Non-scar uterus; Re-caesarean; Pregnancy outcome; Postoperative complications, 百拇医药(张录兰)
[关键词]瘢痕子宫;非瘢痕子宫;再次剖宫产;妊娠结局;术后并发症
[中图分类号] R719.8 [文献标识码] A [文章编号] 1674-4721(2020)2(c)-0116-03
Analysis of re-cesarean section and pregnancy outcome in non-scarred uterus and scar uterus
ZHANG Lu-lan
Department of Obstetrics and Gynecology， Jingdezhen First People′s Hospital of Jiangxi Province， Jingdezhen 333000， China
[Abstract] Objective To analysis of re-cesarean section and pregnancy outcome in non-scarred uterus and scar uterus. Methods A total of 114 pregnant women with scarred uterine pregnancy who were admitted to our hospital from April 2016 to March 2018 were selected as the observation group， and 126 non-scarred cesarean women who were pregnant during the same period were selected as the control group. The neonatal outcomes， intraoperative and postnatal conditions， and complications were compared between the two groups. Results The neonatal weight and Apgar score in the observation group were lower than those in the control group， the differences were statistically significant (P<0.05). The amount of intraoperative and postpartum hemorrhage in the observation group was more than that in the control group， the operation time and hospital stay were longer than those in the control group， the incidence of postpartum fever was higher than that in the control group， and the rate of incision healing was lower than that in the control group， the differences were statistically significant. (P<0.05). The incidence of postpartum hemorrhage， uterine rupture， hysterectomy， pelvic adhesions， placenta previa and placenta implantation in the observation group was higher than that in the control group， the differences were statistically significant (P<0.05). Conclusion The outcome of neonatal scar cesarean section and the situation during and after the operation are worse， and the incidence of complications is higher. Clinicians should strengthen the propaganda and education of pregnant women and encourage them to choose vaginal delivery.
[Key words] Scar uterus; Non-scar uterus; Re-caesarean; Pregnancy outcome; Postoperative complications, 百拇医药(张录兰)