【摘要】：目的探討子宮下段修補術(shù)在瘢痕子宮妊娠患者再次剖宮產(chǎn)術(shù)中的臨床應用價值。方法選取2013年3月至2015年3月我院產(chǎn)科診斷為瘢痕子宮妊娠患者64例,按奇偶數(shù)原則隨機分為對照組(n=32)和觀察組(n=32),對照組未行子宮下段修補術(shù),觀察組行子宮下段修補術(shù)。比較兩組患者手術(shù)相關(guān)指標以及新生兒的差異。結(jié)果觀察組患者術(shù)中、術(shù)后出血量分別為(318.50±117.25)m L和(48.29±10.21)m L,均明顯少于對照組的(395.21±105.46)m L和(77.14±12.60)m L,且觀察組患者產(chǎn)后感染發(fā)生率為3.13%,明顯低于對照組的12.5%,差異均具有統(tǒng)計學意義(P0.05);觀察組和對照組在手術(shù)時間[(49.39±10.30)min vs(45.27±9.16)min]、強效宮縮劑使用比例(12.5%vs 12.5%)、產(chǎn)褥發(fā)生率(6.25%vs 3.13%)及總住院時間[(5.28±1.33)d vs(6.04±1.79)d]方面比較差異均無統(tǒng)計學意義(P0.05);在新生兒出生5 min Apgar評分和新生兒出生體質(zhì)量方面比較差異亦無統(tǒng)計學意義(P0.05)。結(jié)論瘢痕子宮妊娠患者再次剖宮產(chǎn)術(shù)中行子宮下段修補術(shù)可顯著減少出血量,降低產(chǎn)后感染發(fā)生率,對孕婦及胎兒均無不良影響,值得推廣。
[Abstract]:Objective to evaluate the clinical value of lower uterine repair in cesarean section again in patients with scar uterine pregnancy. Methods from March 2013 to March 2015, 64 patients with scar uterine pregnancy diagnosed by obstetrics in our hospital were randomly divided into control group (n 鈮，

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