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目的探究瘢痕子宫与非瘢痕子宫在剖宫产中的不同临床疗效。方法 980例行剖宫产分娩的产妇,其中400例二次剖宫产产妇作为瘢痕子宫组,580例行剖宫产的初产妇作为非瘢痕子宫组。对比两组产妇的手术时间、术中出血量以及新生儿体质量、Apgar评分。结果非瘢痕子宫组产妇的手术时间(38.6±6.4)min、术中出血量(185.2±35.6)ml均明显小于瘢痕子宫组(63.8±7.2)min、(254.5±42.6)ml,组间比较差异具有统计学意义(P<0.05)。瘢痕子宫组新生儿体质量(3.41±0.84)kg、Apgar评分(8.28±1.05)分,与非瘢痕子宫组(3.35±0.76)kg、(8.34±1.26)分比较差异均无统计学意义(P>0.05)。结论瘢痕子宫再次剖宫产会导致手术出血量的增加,手术时间的延长,增加手术风险。
Objective To investigate the different clinical effects of cesarean section in uterus and non-scarred uterus. Methods 980 cases of cesarean delivery of mothers, 400 cases of second cesarean section as a scar group, 580 cases of cesarean section primipara as a non-scarring group. Comparing the two groups of maternal operation time, intraoperative blood loss and neonatal body weight, Apgar score. Results The operative time (38.6 ± 6.4) min and blood loss (185.2 ± 35.6) ml in non-scarring uterus group were significantly lower than those in uterine scar group (63.8 ± 7.2) min and (254.5 ± 42.6) ml, respectively Statistically significant (P <0.05). The body weight of neonates with scarring uterus (3.41 ± 0.84) kg and Apgar score (8.28 ± 1.05) were not significantly different from those of non-scarring uterus (3.35 ± 0.76) kg and (8.34 ± 1.26) points > 0.05). Conclusion Scar cesarean section again cesarean section will lead to an increase in the amount of bleeding, surgery time, increase the surgical risk.