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作者采用内窥镜检查在试产前对子宫疤痕进行评估。采用总胆管纤维镜在自然或人工破膜后经宫颈管在持续观察下插入羊膜腔内,观察时间<15min,不需麻醉。86例有剖宫产史的孕妇经B超检查,34例合并胎盘前壁附着者除外,52例行内窥镜检查,年龄21~37岁,48例有1次剖宫产,4例有2次剖宫产。原剖宫产指征:胎儿宫内窘迫27例,产程停滞16例,前置胎盘6例,指征不明3例。52例中41例阴道分
The authors used endoscopy to assess uterine scar before trial production. The use of total bile duct fibers in the natural or artificial rupture of the cervix by continuous observation into the amniotic cavity, observe the time <15min, without anesthesia. 86 pregnant women with a history of cesarean section were examined by B ultrasound, except for 34 cases with placental anterior wall attachment. 52 cases underwent endoscopy, aged from 21 to 37 years, 48 cases had 1 cesarean section and 4 cases had 2 cesarean section. Indications of the original cesarean section: Fetal distress in 27 cases, 16 cases of labor stagnation, placenta previa in 6 cases, 3 cases of unknown indications. 41 cases of 52 cases of vaginal points