疤痕子宫再次妊娠并发妊娠期高血压疾病的妊娠结局分析

目的:对疤痕子宫再次妊娠并发妊娠期高血压疾病的妊娠结局进行分析及探讨。方法:选取85例并发妊娠期高血压疾病孕妇为研究对象,其中有剖宫产史25例,并选择同期正常分娩的产妇120例为对照组,分析比较3组产妇产前产后出血、分娩方式、围产儿出生情况及产妇并发症发生情况。结果:疤痕子宫组产前产后出血、子宫切除、早产儿出生率、胎儿窒息发生率及剖宫产率与非疤痕子宫和对照组差异有统计学意义(P<0.05);两组患妊娠期高血压疾病孕妇并发症发生率差异无统计学意义(P>0.05),与对照组相比差异有统计学意义(P<0.05);子痫前期产妇妊娠结局不良情况发生高于单纯性高血压产妇,重度子痫前期与轻度子痫前期产妇的妊娠结局相比差异有统计学意义(P<0.05)。结论:疤痕子宫再次妊娠并发妊娠期高血压疾病对妊娠结局将产生严重的影响,因此需要对产妇做好孕期监护,并及时处理手术过程中的突发情况将有利于母婴的预后。

Analysis on pregnancy outcome of cases with cesarean scar pregnancy combined with hypertensive disorder complicating pregnancy

Objective:To analyze and explore the pregnancy outcome of cases with cesarean scar pregnancy(CSP) combined with hypertensive disorder complicating pregnancy(HDCP).Methods:Eighty-five pregnant women with HDCP were selected as study objects,and 25 pregnant women had the history of cesarean section;120 normal pregnant women during the same period were selected as control group;the incidence rates of antenatal hemorrhage and postpartum hemorrhage,delivery modes,perinatal situations,and maternal complications in the three groups were analyzed and compared.Results:There were statistically significant differences in the incidence rates of antenatal hemorrhage and postpartum hemorrhage,the rate of hysterectomy,birth rate of premature infants,incidence rate of fetal asphyxia,and the rate of cesarean section between CSP group and non-CSP group,control group(P<0.05);there was no statistically significant difference in the incidence rates of maternal complications in HDCP pregnant women between CSP group and non-CSP group(P>0.05),compared with control group,there was statistically significant difference(P<0.05);the incidence rate of adverse pregnancy outcome in case with preeclampsia was statistically significantly higher than that in cases with simple hypertension,there was statistically significant difference in pregnancy outcome between severe preeclampsia group and mild preeclampsia group(P<0.05).Conclusion:CSP combined with HDCP has important impact on pregnancy outcome,thus,gestational monitoring for parturient women should be enhanced,timely coping with the emergency situations during operation is helpful to maternal and infantile prognosis.