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目的:分析总结瘢痕子宫再次妊娠的处理方法。方法:选取我院2011年1月~2012年12月收治的60例瘢痕子宫再次妊娠患者的临床资料进行回顾性分析,根据处理方式的不同将其分为剖宫产组和正常分娩组,观察2组患者的术中出血量及住院时间等指标,比较2组患者的处理安全性和有效率。结果:剖宫产组患者的术中出血量为400±135ml,较试产组165±50ml的出血量大,剖宫产组患者术后住院时间为8.9±2.6天,较试产组3.6±1.8天的住院时间长,2组患者比较差异有统计学意义(P<0.05)。结论:瘢痕子宫再次妊娠进行阴道正常分娩的利大于弊,在符合引导分娩指征的情况下可作为首选分娩方式。
Objective: To analyze the treatment of uterine scar pregnancy again. Methods: A retrospective analysis was performed on the clinical data of 60 pregnant women with uterine scar pregnancy treated in our hospital from January 2011 to December 2012. According to the different treatment methods, they were divided into cesarean section group and normal delivery group. 2 groups of patients with intraoperative blood loss and hospital stay and other indicators, the treatment of two groups of patients compared the safety and efficiency. Results: The intraoperative blood loss in cesarean section patients was 400 ± 135ml, which was higher than 165 ± 50ml in trial group. The postoperative hospitalization time was 8.9 ± 2.6 days in cesarean section group, which was 3.6 ± 1.8 days of hospitalization for a long time, the difference between the two groups was statistically significant (P <0.05). CONCLUSIONS: Scarring uterine pregnancy again vaginal normal delivery more advantages than disadvantages, in line with the indications of guide delivery can be used as the preferred mode of delivery.