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目的分析剖宫产术后瘢痕子宫再次妊娠分娩方式的选择与注意事项。方法回顾分析本院2003年3月至2013年3月136例瘢痕子宫再次妊娠住院分娩,其中:阴道分娩20例,剖宫产术116例。结果阴道试产20例,成功15例,成功率75%,阴道分娩组出血量,产后发热率,住院天数,花费,均低于剖宫产组。剖宫产组中切口位置选择,原切口以下及以上再出血量,晚期产后出血及切口血肿均有显著差异。结论瘢痕子宫在严格掌握试产条件下,采取阴道分娩是可行的,并且具有并发症少,住院时间短,花费少的优点。再次剖宫产术中切口的选择及胎头助娩的方法 ,利于母婴安全。
Objective To analyze the choice and precautions of delivery mode of scar pregnancy after cesarean section. Methods Retrospective analysis of hospital from March 2003 to March 2013 136 cases of uterine scar pregnancy again delivery, including: vaginal delivery in 20 cases, 116 cases of cesarean section. Results Vaginal trial production in 20 cases, 15 cases of success, the success rate of 75%, vaginal delivery group of bleeding, postpartum fever, hospital stay, spending, were lower than the cesarean section. Cesarean section in the choice of incision location, the original incision and above the amount of rebleeding, postpartum hemorrhage and incision hematoma were significantly different. Conclusion It is feasible to take vaginal delivery under the condition of strictly controlling trial production of scar uterus, and has the advantages of less complications, shorter hospital stay and less cost. Another cesarean section in the choice of incision and fetal head to help delivery method, which will help maternal and child safety.