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目的探讨瘢痕子宫再次妊娠的分娩方式。方法对106例瘢痕子宫再次妊娠孕妇分娩方式的临床资料进行回顾性分析。结果本组106例中,78例选择剖宫产,28例阴道试产,试产率26.4%;16例顺利阴道分娩,试产成功率57.1%。12例试产失败者均改行急诊剖宫产分娩。再次剖宫产出血量明显高于阴道分娩者。结论瘢痕子宫再次妊娠应根据产妇具体情况选择合理的分娩方式,以改善母婴预后。
Objective To investigate the mode of delivery of scar pregnancy again. Methods The clinical data of 106 pregnant women with uterine scar pregnancy were retrospectively analyzed. Results In this group of 106 patients, 78 cases were selected for cesarean section and 28 cases for vaginal trial. The trial yield was 26.4%. Sixteen cases were successfully delivered vaginally with a trial success rate of 57.1%. 12 cases of trial losers were switched to emergency cesarean section delivery. Again cesarean section bleeding was significantly higher than vaginal delivery. Conclusion The uterus scar pregnancy should be based on the specific circumstances of maternal choose a reasonable mode of delivery to improve maternal and child prognosis.