再次剖宫产时对原子宫切口愈合情况相关因素分析

目的:分析再次剖宫产时,原子宫切口愈合情况,探讨影响其愈合的相关因素。方法:本文对78例再次剖宫产者,术中所见及前次手术资料进行临床分析。结果:子宫切口愈合不良的发生率为28.2%,与术后间隔时间、术后感染率、子宫切口位置高低、腹腔粘连程度有关,而与剖宫产时机、孕妇的年龄、职业、孕产史、体重、孕周、胎儿的大小无关。结论:剖宫产后再次妊娠的时间至少应距前次妊娠间隔3年,前次剖宫产有术后病率及子宫切口情况不祥者,再次足月妊娠最好不选择阴道试产,以防子宫破裂发生,确保母婴安全。

Clinical Analysis of Prospective Factors of the Healing of Uterine Incision from Repeat Cesarean Section

Objective:To analyse the healing status of original uterine incision though repeat cesarean section.To study the factors that may influence the healing of uterine incision from cesarean section.Methods:analyse the clincal feature of the healing of uterine incision from 78 case of repeat cesarean section.Results:The rate of unhealthy uterine incision was 28.2%.The following factors have been implicated in the occurrence of unhealthy uterine incision:time interval after previous cesarean section,puerperal morbidity,uterine incision site unusual and peritoneal adhesion.The following factors have no significant differences in unhealthy of uterine incision:age,occupation,times of gestation/parturition,weight,gestational age,body weight.Conclusions:The time interval between previous cesarean section and the following pregnancy should be more than 3 years.Postcesarean puerperal morbidity and unknown situation of previous cesarean section should not be allowed for a trial of vaginal labour in order to reduce the risk of rupture of uterus and may ensure the safety of pregnant woman and baby.