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剖宫产后瘢痕子宫再次妊娠分娩方式的临床研究
引用本文:陈桂林.剖宫产后瘢痕子宫再次妊娠分娩方式的临床研究[J].河南外科学杂志,2010,16(3).
作者姓名:陈桂林
作者单位:江苏连云港市第二人民医院妇产科,连云港,222036
摘    要:目的探讨剖宫产后瘢痕子宫再次妊娠的合理分娩方式。方法对110例剖宫产术后再次妊娠孕妇,根据具体情况分为再次择期剖宫产及经阴道试产2组。对分娩方式、子宫破裂、出血、新生儿窒息等情况进行回顾性分析。结果 60例阴道试产中25例试产成功,试产成功率为41.7%。再次择期剖宫产组较经阴道分娩组出血量大,而子宫破裂、新生儿窒息发生率无明显差异。结论剖宫产术后再次妊娠分娩并非是剖宫产绝对指征,前次剖宫产有绝对指征或此次妊娠出现新的指征可行择期剖宫产,符合试产条件者在严密监护下应给予试产,因为阴道分娩可减少再次手术给患者带来的各种并发症及手术痛苦。试产失败者改急诊剖宫产。

关 键 词:剖宫产  瘢痕子宫  再次妊娠  分娩方式

A clinical study of pregnancies in a uterine scar after cesarean section
Chen Guilin.A clinical study of pregnancies in a uterine scar after cesarean section[J].Henan JOurnal of Surgery,2010,16(3).
Authors:Chen Guilin
Institution:Chen Guilin; Department of Gynecology and Obstetrics; the Second People′s Hospital of Lianyungang City; Lianyungang 222036; China;
Abstract:Objective To explore the uterine scar after cesarean section delivery mode again,reasonable pregnancy.Methods On March 2007~February 2010 after cesarean section in our hospital 110 cases of pregnant women again,again according to the specific circumstances into cesarean section and vaginal pilot groups.On the mode of delivery,uterine rupture,hemorrhage,neonatal asphyxia,etc.were reviewed.Results 60 cases of trial of labor in 25 cases of successful trial production,pilot a success rate of 41.7%.Again after c...
Keywords:Cesarean section  Scar the uterus  Subsequent pregnancy  Delivery way
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