【摘要】：目的探討子宮下段修補(bǔ)術(shù)在瘢痕子宮妊娠患者再次剖宮產(chǎn)術(shù)中的臨床應(yīng)用價(jià)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(jī)分為對(duì)照組(n=32)和觀察組(n=32),對(duì)照組未行子宮下段修補(bǔ)術(shù),觀察組行子宮下段修補(bǔ)術(shù)。比較兩組患者手術(shù)相關(guān)指標(biāo)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(duì)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(duì)照組的12.5%,差異均具有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組和對(duì)照組在手術(shù)時(shí)間[(49.39±10.30)min vs(45.27±9.16)min]、強(qiáng)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(shí)間[(5.28±1.33)d vs(6.04±1.79)d]方面比較差異均無統(tǒng)計(jì)學(xué)意義(P0.05);在新生兒出生5 min Apgar評(píng)分和新生兒出生體質(zhì)量方面比較差異亦無統(tǒng)計(jì)學(xué)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(bǔ)術(shù)可顯著減少出血量,降低產(chǎn)后感染發(fā)生率,對(duì)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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