本文關(guān)鍵詞：瘢痕子宮妊娠重復(fù)剖宮產(chǎn)并發(fā)癥的臨床分析　出處：《中西醫(yī)結(jié)合心血管病電子雜志》2016年32期 　論文類型：期刊論文

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【摘要】：目的對(duì)瘢痕子宮妊娠重復(fù)剖宮產(chǎn)產(chǎn)婦出現(xiàn)的并發(fā)癥情況進(jìn)行分析。方法選擇我院收治的二次妊娠初次剖宮產(chǎn)產(chǎn)婦和瘢痕子宮妊娠再次剖宮產(chǎn)產(chǎn)婦各62例,分別定義為對(duì)照組和研究組。對(duì)比兩組研究對(duì)象在剖宮產(chǎn)手術(shù)圍術(shù)期內(nèi)出現(xiàn)的并發(fā)癥情況、剖宮產(chǎn)手術(shù)后住院治療時(shí)間。結(jié)果研究組研究對(duì)象在剖宮產(chǎn)手術(shù)的圍術(shù)期內(nèi)出現(xiàn)子宮破裂、前置胎盤、盆腹腔黏連、胎盤植入/粘連、產(chǎn)后出血等并發(fā)癥的人數(shù)明顯多于對(duì)照組,組間差異顯著(P0.05);剖宮產(chǎn)手術(shù)操作時(shí)間、術(shù)后住院治療時(shí)間明顯長(zhǎng)于對(duì)照組,組間差異顯著(P0.05);剖宮產(chǎn)手術(shù)操作期間的出血量明顯多于對(duì)照組,組間差異顯著(P0.05)。結(jié)論瘢痕子宮妊娠重復(fù)剖宮產(chǎn)產(chǎn)婦在圍手術(shù)期內(nèi)出現(xiàn)并發(fā)癥的可能性較大,在產(chǎn)科適當(dāng)降低剖宮產(chǎn)率對(duì)于保證產(chǎn)婦和新生兒健康具有積極的促進(jìn)作用。
[Abstract]:Objective to analyze the complications of repeated cesarean section in cicatricial uterine pregnancy. Methods 62 cases of the first cesarean section of secondary pregnancy and 62 cases of the second cesarean section of scarred uterine pregnancy were selected in our hospital. The two groups were defined as the control group and the study group respectively. The complications of the two groups during the perioperative period of cesarean section were compared. Results during the perioperative period of cesarean section, the study group had uterine rupture, placenta previa, pelvic celiac adhesion, placenta accreta / adhesion. The number of complications such as postpartum hemorrhage was significantly higher than that of the control group (P 0.05). The operative time of cesarean section and the time of hospitalization were significantly longer than those of the control group (P 0.05). The amount of bleeding during cesarean section was significantly higher than that in the control group (P 0.05). Conclusion the possibility of complications during the perioperative period of cesarean section for women with repeated cesarean section in cicatricial pregnancy is higher than that in the control group. A proper reduction in cesarean section rate in obstetrics plays a positive role in ensuring maternal and newborn health.
【作者單位】： 于都縣人民醫(yī)院婦產(chǎn)科;
【分類號(hào)】：R719.8
【正文快照】： 瘢痕子宮女性在妊娠的時(shí)候,胚胎可能在創(chuàng)傷瘢痕的位置發(fā)生著床,再次實(shí)施重復(fù)性的剖宮產(chǎn),出現(xiàn)盆腹腔粘連、胎盤粘連、子宮破裂、產(chǎn)后出血、前置胎盤等相關(guān)并發(fā)癥的可能性會(huì)明顯加大,甚至需要對(duì)子宮實(shí)施切除處理,對(duì)廣大產(chǎn)婦和新生兒的生命安全造成了嚴(yán)重的威脅[1]。本次對(duì)瘢痕子

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