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目的:探讨瘢痕子宫再次妊娠的处理方法和处理效果。方法:选取本院在2014年5月~2015年5月收治的60例瘢痕子宫再次妊娠的孕妇,对其临床资料进行回顾性分析。结果:本组60例患者中有24例患者自然分娩成功,患者都没有出现子宫破裂的情况,新生儿的Apgar评分均大于6分,再次进行阴道分娩率为40%;其中新生儿最小的有2600g,最大的为3800g,患者孕期最短的为38周,最长的为42周。结论:对于有过瘢痕子宫的孕妇而言,再次妊娠的时候不能随意扩大剖宫产的指征,进行妊娠的时候应首先明确其阴道试产禁忌症以及适应症,对孕妇的产程进行严密的观察,以确保试产的安全,从而为瘢痕子宫再次妊娠提供合理的分娩方式,提高患者的生存质量。
Objective: To investigate the treatment and treatment effect of scar pregnancy again. Methods: A total of 60 pregnant women with uterine scar pregnancy who were treated in our hospital from May 2014 to May 2015 were retrospectively analyzed. RESULTS: Twenty-four of the 60 patients in this study were successful in spontaneous labor. None of the patients had uterine rupture. The neonatal Apgar scores were greater than 6 and the rate of vaginal delivery was 40%. Among them, the smallest newborn was 2600g, the largest for 3800g, the shortest for patients 38 weeks, the longest for 42 weeks. Conclusion: For pregnant women who have had a scar uterus, they should not expand the indications of cesarean section when they are pregnant again. During the pregnancy, they should first make clear the contraindications and indications of vaginal trial production, Observation to ensure the safety of trial production, so as to provide a reasonable mode of delivery for scar pregnancy again pregnancy, improve the quality of life of patients.