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目的:探讨瘢痕子宫再次进行剖宫产的并发症发生情况。方法:选取2013年3月至2016年3月来我院再次进行剖宫产的118例瘢痕子宫产妇作为研究对象,定为观察组,选择同期在我院剖宫产的118例初产妇进行对比,定为对照组,对比并分析两组产妇手术情况以及并发症发生情况。结果:观察组产妇手术的总时间、胎儿取出的时间以及术中出血量都明显高于对照组(P<0.05),有统计学意义;观察组并发症发生率为16.95%,对照组并发症发生率为6.78%,两组对比差异明显(P<0.05),有统计学意义;另外,剖宫产手术的方式对产妇是否出现并发症没有直接的影响,但是距离上次剖宫产的时间是产妇出现并发症的一个重要影响因素。结论:瘢痕子宫产妇再次进行剖宫产容易发生多种并发症,此类产妇如果需要再次妊娠最少需要间隔两年。另外,还需要降低初产妇剖宫产率,从而减少瘢痕子宫再次剖宫产率。
Objective: To investigate the occurrence of complications of cesarean section again in scar uterus. Methods: From March 2013 to March 2016, 118 cases of cesarean scar from our hospital were selected as the research object and selected as the observation group. 118 primipara were selected for cesarean section in our hospital during the same period , As a control group, compared and analyzed two groups of maternal surgical conditions and complications. Results: The total time of maternal operation, the time of fetal removal and the amount of intraoperative blood loss in the observation group were significantly higher than those in the control group (P <0.05), and the complication rate was 16.95% in the observation group and in the control group (6.78%). There was significant difference between the two groups (P <0.05), and there was statistical significance. In addition, the way of caesarean operation did not have a direct impact on the occurrence of complications of maternal, but the time from the last cesarean section Maternal complications is an important factor. Conclusion: Cesarean scar pregnancy is prone to multiple complications of cesarean section, such maternal if need to repeat the pregnancy at least two years apart. In addition, there is a need to reduce the rate of cesarean section in primipara so as to reduce the rate of cesarean section in scarred uterus again.