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目的探讨瘢痕子宫再次妊娠分娩方式选择的临床分析。方法收治82例瘢痕子宫再次妊娠孕妇临床资料,对其分娩方式、结局及母婴并发症影响,进行回顾性分析。结果 17例阴道试产,10例试产成功;再次剖宫产(RCS)72例。瘢痕子宫再次剖宫产产时出血量、产后出血率、新生儿并发症、产后并发症、腹腔粘连严重程度均高于术后阴道分娩(VBAC)。结论瘢痕子宫再次妊娠在无试产禁忌下可阴道试产,降低剖宫产术后母婴并发症近远发生率,再次剖宫产并非绝对指征。
Objective To investigate the clinical analysis of choice of delivery mode of scar pregnancy after uterine pregnancy. Methods The clinical data of 82 pregnant women with uterine scar pregnancy were retrospectively analyzed for the mode of delivery, the outcome and the maternal and infant complications. Results 17 cases of vaginal trial production, 10 cases trial success; again cesarean section (RCS) 72 cases. The amount of bleeding, postpartum hemorrhage, neonatal complications, postpartum complications and peritoneal adhesions in cesarean scar were higher than that of postoperative vaginal delivery (VBAC). Conclusion Re-pregnancy of scar uterus without vaginal trial in the absence of trial taboo, reduce the incidence of maternal and child complications after cesarean section near and far, cesarean section is not an absolute indication.