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1.本文以近三年来414例有刮宫史的产妇分娩情况,有关材料进行了分析,就刮宫术对分娩的影响作了初步小结。2.414例中,刮宫术后,再次妊娠顺利分娩者289例,占总数69.8%,从胎次,刮宫术的指征,刮宫术距此次妊娠时间等各方面作了分析,此组病例中,上次刮宫指征人工流产与自然流产之比为1:1.6。3.此次分娩有异常病理者125例,就与刮宫术可能有关的产后出血(38例)胎盘粘连,(34例其中15例发生产后出血),低置胎盘(68例)分别作了分析。 4.在分娩病理中,较为突出的为胎盘粘连,与刮宫术关系较为密切,多发生于自然流产后刮宫,或反复流产多次刮宫。5.低置胎盘68例,占异常病例54.4％,其与刮宫的关系是值得注意的问题。6.就本组病例分析,人工流产若选择适当,注意手术操作原则,刮宫术后对妊娠分娩无明显不良影响。
1. This article in the past three years 414 cases of curettage history of maternal childbirth, the material was analyzed, the curettage on childbirth made a preliminary summary. 2.414 cases, after curettage, pregnancy again successfully delivered 289 cases, accounting for 69.8% of the total, from the parity, curettage indications, curettage from the time of pregnancy and other aspects were analyzed in this group of patients, The last curettage indicated that the ratio of induced abortion to spontaneous abortion was 1: 1.6.3. There were 125 cases with abnormal pathology and 38 cases with postpartum hemorrhage related to curettage (placenta accreta), of which 34 Cases of postpartum hemorrhage occurred), low placenta (68 cases) were analyzed. In childbirth pathology, the more prominent placental adhesion, and curettage more closely related, occurred in spontaneous abortion curettage, or repeated abortion multiple curettage. Low-placenta 68 cases, accounting for 54.4% of abnormal cases, the relationship with curettage is a noteworthy issue. 6. Analysis of this group of patients, abortion if the appropriate choice, pay attention to the principle of surgical operation, curettage after childbirth no significant adverse effects.