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目的探讨瘢痕子宫再次妊娠不同分娩方式的临床结局。方法选取我院收治的瘢痕子宫再次妊娠妇女177例,其中单胎头位具有阴道试产条件59例(A组),不符合剖宫产后阴道分娩条件或孕妇意愿择期剖宫产118例(B组)。比较两组临床结局。结果 A组59例中,经阴道分娩成功44例(74.6%),中转剖宫产15例。A组产后出血发生率低,住院时间短,住院费用低,与B组比较,差异有统计学意义(P<0.05);两组新生儿窒息的发生率差异无统计学意义(P>0.05)。结论瘢痕子宫足月妊娠孕妇经综合评估,严密产程监测经阴道试产安全可行。
Objective To investigate the clinical outcomes of different modes of delivery in scar pregnancy. Methods A total of 177 pregnant women with scar uterus admitted to our hospital were enrolled. Among them, 59 cases (group A) with single vaginal delivery were not eligible for vaginal delivery after cesarean section or 118 cases Group B). The clinical outcomes were compared between the two groups. Results Among 59 cases in group A, 44 cases (74.6%) were successful in vaginal delivery and 15 cases were transferred to cesarean section. The incidence of postpartum hemorrhage in group A was lower, the length of hospital stay was shorter and the hospitalization cost was lower, the difference was statistically significant (P <0.05). There was no significant difference in the incidence of neonatal asphyxia between the two groups (P> 0.05) . Conclusions The full-term assessment of pregnant women with full-term uterine scar pregnancy is feasible and safe for vaginal trial.