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目的了解疤痕子宫再次剖宫产手术的风险,降低剖宫产及再次剖宫产率。方法回顾性分析65例疤痕子宫再次妊娠(前次剖宫产56例,子宫肌瘤剔除9例)的患者资料。结果术中见盆腔粘连29例,其中严重粘连9例,先兆子宫破裂3例,前置胎盘4例,胎盘早剥1例,先兆子宫破裂3例,胎盘植入3例,产后出血11例,大出血并DIC 1例,子宫次全切除1例。结论为降低剖宫产及再次剖宫产率,应提倡住院分娩和自然分娩。
Objective To understand the risk of scarring uterine cesarean section again and reduce the rate of cesarean section and cesarean section again. Methods A retrospective analysis of 65 cases of uterine scar re-pregnancy (previous cesarean section 56 cases, uterine fibroids removed 9 cases) patients. Results Pelvic adhesions were seen in 29 cases, including 9 cases of severe adhesion, 3 cases of threatened uterine rupture, 4 cases of placenta previa, 1 case of placental abruption, 3 cases of threatened uterine rupture, 3 cases of placenta accreta, 11 cases of postpartum hemorrhage, Hemorrhage and DIC in 1 case, subtotal hysterectomy in 1 case. Conclusion In order to reduce the rate of cesarean section and cesarean section again, we should advocate hospital delivery and natural childbirth.