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目的探讨瘢痕子宫再次妊娠分娩方式临床分析。方法回顾性分析我院69例瘢痕子宫再妊娠分娩情况的临床资料。结果 69例瘢痕子宫再次妊娠中分娩方式选择阴道试产41例,阴道试产率59.4,阴道成功分娩26例,成功率63.4,结果阴道分娩率37.7;剖宫产43例,剖宫产率62.3。本组剖宫产、阴道分娩均未出现母婴不良状况。结论应严格把握剖宫产的手术指征,有剖宫产指征就再次选择剖宫产;瘢痕子宫并非再次剖宫产的绝对指征,如果瘢痕子宫再妊娠没有明显剖宫产手术指征,可给予孕妇试产机会,降低剖宫产率。
Objective To investigate the clinical analysis of delivery mode of scar pregnancy after uterine pregnancy again. Methods The clinical data of 69 cases of uterine scar pregnancy in our hospital were analyzed retrospectively. Results In the 69 cases of scar pregnancy, 41 cases of vaginal delivery were chosen as delivery mode. The vaginal delivery rate was 59.4% and vaginal delivery was successful in 26 cases. The success rate was 63.4%, and the vaginal delivery rate was 37.7%. Cesarean section was performed in 43 cases and cesarean section rate was 62.3% . This group of cesarean section, vaginal delivery did not appear maternal and infant adverse conditions. Conclusion The indications for cesarean section should be strictly grasped. Cesarean section should be selected again for indications of cesarean section. The scar uterus is not an absolute indication for cesarean section again. If there is no obvious cesarean section indications , May give pregnant women a pilot opportunity to reduce cesarean section rate.