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目的:探讨瘢痕子宫者再次妊娠后选择阴道分娩的可行性以及安全性。方法:随机选取2015年7月至2016年11月在惠州市惠阳区三和医院产科分娩的92例瘢痕子宫再次妊娠产妇作为观察组,同时选择92例非瘢痕子宫再次妊娠产妇作为对照组,对两组分娩方式、新生儿状况、并发症发生情况等进行回顾性分析。结果:观察组阴道分娩成功率为70.65%,显著低于对照组86.96%,组间比较,差异具有统计学意义(P<0.05);两组产妇产程时间、新生儿Apgar评分、并发症等方面比较,差异无统计学意义(P>0.05)。结论:在严格把握阴道试产条件的情况下,瘢痕子宫产妇也可行阴道分娩。
Objective: To investigate the feasibility and safety of vaginal delivery after scar pregnancy. Methods: From July 2015 to November 2016, 92 pregnant women with uterine scar pregnancy who were delivered by obstetric department of Sanhe Hospital, Huiyang District, Huizhou City were randomly selected as the observation group. 92 pregnant women with non-scarring uterus were selected as the control group, Two groups of delivery mode, neonatal status, complications, etc. were retrospectively analyzed. Results: The success rate of vaginal delivery in the observation group was 70.65%, which was significantly lower than that in the control group (86.96%). The differences between the two groups were statistically significant (P <0.05). The duration of labor, neonatal Apgar score and complications The difference was not statistically significant (P> 0.05). Conclusion: In the strict grasping conditions of vaginal trial, scar maternal uterine vaginal delivery is also feasible.