【摘要】：目的探討子宮切口瘢痕憩室(PCSD)形成的相關(guān)因素。方法選取2012年5月—2014年5月因經(jīng)期延長、淋漓不盡來鄭州大學(xué)第二附屬醫(yī)院就診的既往有剖宮產(chǎn)史的患者1 086例,對患者的基本資料、剖宮產(chǎn)圍術(shù)期情況、PCSD的發(fā)生情況3個部分進(jìn)行調(diào)查。采用Logistic回歸分析PCSD形成的高危因素。結(jié)果 1 056例有效問卷中,發(fā)生PCSD 52例,發(fā)生率為4.9%。剖宮產(chǎn)次數(shù)≥2次〔OR=7.885,95%CI(2.206,28.181)〕、胎膜早破〔OR=3.664,95%CI(1.709,7.853)〕、產(chǎn)程延長〔OR=5.200,95%CI(2.086,12.966)〕、擇期手術(shù)〔OR=2.408,95%CI(1.230,4.718)〕、子宮后位〔OR=1.954,95%CI(1.018,3.751)〕、多胎(胎數(shù)≥2)妊娠〔OR=3.823,95%CI(1.715,8.522)〕、體質(zhì)量增加≥20 kg〔OR=6.896,95%CI(3.084,15.424)〕、輕/中度貧血〔OR=3.460,95%CI(1.071,11.179);OR=8.057,95%CI(3.652,17.773)〕是PCSD形成的高危因素(P0.05)。144例2次剖宮產(chǎn)患者,手術(shù)間隔時間2年的PCSD發(fā)生率為63.6%(14/22),高于2~5年(17.1%,6/35)、5年(26.4%,23/87)PCSD的發(fā)生率,差異均有統(tǒng)計學(xué)意義(P=0.000、0.001)。結(jié)論具有多次剖宮產(chǎn)史、再次剖宮產(chǎn)間隔時間2年、胎膜早破病史、產(chǎn)程延長、擇期手術(shù)、子宮后位、肥胖、貧血、多胎因素的剖宮產(chǎn)患者,術(shù)后患PCSD的風(fēng)險增加。
[Abstract]:Objective to investigate the factors related to the formation of (PCSD) in scar diverticulum of uterine incision. Methods from May 2012 to May 2014, 1 086 patients with history of cesarean section were selected from the second affiliated Hospital of Zhengzhou University. The basic data of the patients and the perioperative period of cesarean section were analyzed. The occurrence of PCSD was investigated in 3 parts. The high risk factors of PCSD formation were analyzed by Logistic regression analysis. Results among 1 056 valid questionnaires, 52 cases (4.9%) had PCSD. The frequency of cesarean section 鈮，

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