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目的探讨对剖宫产术后子宫瘢痕妊娠的治疗措施,观察临床效果。方法选择我院2009年2月至2010年1月收治的剖宫产术后子宫瘢痕妊娠产妇78例,对其诊治过程、分娩方式、分娩结局等资料进行回顾性分析。结果 78例剖宫产术后子宫瘢痕妊娠产妇中选择阴道试产55例,选择再次剖宫产23例。其中选择阴道试产的55例产妇试产过程中行剖宫产15例,阴道分娩40例,阴道试产率70·51%(55/78),试产成功率72·73%(40/55),阴道分娩率51·28%(40/78);剖宫产率48·72%(38/78)。全部产妇均未出现母婴不良结局。结论对剖宫产术后子宫瘢痕妊娠的产妇进行完善的产前检查,及时做出早期诊断,掌握阴道试产的适应证和剖宫产指征,对降低剖宫产率具有重要的意义。
Objective To investigate the treatment of uterine scar pregnancy after cesarean section and to observe the clinical effect. Methods Seventy eight cases of uterine scar pregnancy after cesarean section were treated in our hospital from February 2009 to January 2010 were retrospectively analyzed. The diagnosis and treatment process, mode of delivery and delivery outcome were retrospectively analyzed. Results 78 cases of uterine scar pregnancy after cesarean section choose vaginal trial 55 cases, choose another cesarean section in 23 cases. Among 55 cases of vaginal trial, 15 cases of cesarean section, 40 cases of vaginal delivery, 70.51% (55/78) of vaginal trial and 72.73% (40/55) ), Vaginal delivery rate 51.28% (40/78); cesarean section rate of 48.72% (38/78). All mothers did not appear maternal and child adverse outcomes. Conclusions The perfect prenatal examination of maternal uterine scar pregnancy after cesarean section, early diagnosis in time, and the indications of vaginal trial and cesarean section indications are of great significance to reduce the rate of cesarean section.