疤痕子宫再次妊娠二次剖宫产与非疤痕子宫剖宫产的对比研究

目的：探讨疤痕子宫孕妇的分娩结局，了解疤痕子宫孕妇再次分娩的风险及并发症。降低因社会因素导致剖宫产率的提高。方法-对2011年6月至2012年5月在我院住院分娩的115例疤痕子宫妊娠分娩（实验组）及其因素进行回顾性分析，选取同期120例非疤痕子宫妊娠分娩（对照组）及其相关因素进行回顾性分析。结果：疤痕子宫妊娠的分娩方式仍以剖宫产为主，社会因素仍是主要原因，且两组相比差异有统计学意义（P〈O．05）；而胎儿窘迫、产程进展异常、脐带绕颈对照组高于实验组，差异有统计学意义（P〈O．05）；实验组再次剖宫产术中的平均出血量、手术时间、术后出血量、恶露持续时间均高于对照组，差异有统计学意义（P〈O．05）。且子宫破裂率实验组明显较对照组高（P〈O．05）。结论：疤痕子宫再次妊娠后分娩风险明显较非疤痕子宫高，临床应该严格控制无临床医学指征行剖宫产。

Comparative Study of Scarred Uterus after Cesarean Section of Repregnancy and Non-scarring Uterine Cesarean Section

Objective： To study the delivery results of scar uterus, the complications and risk of re- pregnant after cesarean delivery. To reduce the rising cesarean rate caused by the social factors. Method： Retrospectively analyzed 115 cases in experimental group from Jun. 20ll to May 2012, selected 120 cases nonscarring uterine pregnancy and delivery （ control group） at the same time. Result： The delivery ways of pregnant women with scar uterus mainly were taken cesarean delivery,the social factors was the main reason, and have significant of two groups（ P〈0.05） ,the control group rate of fetal distress,abnormal of labor progress, cord around the neck were higher than experimental group, have significant difference （ P〈0.05 ） ; the rates of uterine rupture and average amount of intraoperative bleeding in the recurred cesarean,operation time, postoperative bleeding, duration of lochia were higher than control group, have significant （ P〈0.05 ）. Experimental group＇s rate of uterine rupture was higher than control group（ p〈0.05 ）. Conclusion：The risk of repregnancy women with scar uterus are significantly raised, it is entirely necessary to strictly control the occurrence of cesarean section without medical signs.