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目的:观察二次妊娠合并瘢痕子宫产妇剖宫产并发症的发生情况并进行分析。方法:选择2013年1月-2015年12月于我院实施剖宫产的二次妊娠合并剖宫产且病例资料完整的产妇共计377例,对其病例进行回顾性研究,观察产妇出现并发症的情况。结果:377例患者共计发生207例并发症,并发症发生率为54.91%。其中盆腔或者腹腔黏连的发病率居于首位,为129例,占62.32%,产后出血46例,占22.22%。前置胎盘合并胎盘置入28例,占13.53%。感染等其他并发症4例,占1.93%。377例发生并发症的产妇中,初次剖宫产行横行切口后,第二次剖宫产发生并发症的比例明显高于初次剖宫产纵行切口的产妇,且具有统计学差异(P<0.05)。结论:二次妊娠合并瘢痕子宫的产妇行剖宫产有较高的并发症发生率,而初次剖宫产术式对二次剖宫产并发症发生率具有重要影响。
Objective: To observe and analyze the incidence of complications of cesarean section in second pregnancy with uterine scar. Methods: From January 2013 to December 2015 in our hospital for cesarean section of second pregnancy with cesarean section and a complete case of maternal total 377 cases, the case was retrospectively studied to observe the maternal complications Case. Results: A total of 207 patients with 207 cases of complications occurred, the complication rate was 54.91%. Including pelvic or abdominal adhesions in the first place incidence, 129 cases, accounting for 62.32%, 46 cases of postpartum hemorrhage, accounting for 22.22%. Placenta previa placenta placed in 28 cases, accounting for 13.53%. Infection and other complications in 4 cases, accounting for 1.93%. 377 cases of complications of maternal, the first cesarean section after transverse incision, the second cesarean section complications were significantly higher than the initial cesarean section longitudinal incision maternal, and with a statistically significant difference (P < 0.05). Conclusions: Cesarean section with second pregnancy and scarring uterus has a higher incidence of complications, while the first cesarean section has a significant impact on the incidence of secondary cesarean section.