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目的:探讨瘢痕子宫妊娠重复剖宫产并发症的对比。方法:收集2013年10月~2014年10月本院收治的80例瘢痕子宫妊娠重复剖宫产对象作为观察组,同期选取80例非医学指征剖宫产对象作为对照组,对比两组患者的并发症发生情况。结果:观察组盆腹腔粘连、胎盘植入/粘连、产后出血、前置胎盘、子宫破裂等并发症发生率明显高于对照组,差异有统计学意义(P<0.05)。两组患者术后切口愈合不良发生率对比,差异无统计学意义(P>0.05)。观察组初次剖宫产行腹壁横切口术式再次剖宫产分娩时间、总手术时间明显长于腹壁纵切口术式,术中出血量明显多于腹壁纵切口术式,差异有统计学意义(P<0.05)。结论:瘢痕子宫妊娠重复剖宫产的并发症较多,必须严格控制非医学指征剖宫产,才能降低降低剖宫产率,促进产科质量水平。
Objective: To compare the complications of repeated cesarean section in uterine scar pregnancy. Methods: 80 pregnant women with uterine scar pregnancy from October 2013 to October 2014 were selected as the observation group. 80 non-medical cesarean section patients were selected as the control group during the same period. The patients in the two groups were compared Complications occurred. Results: The incidence of complications such as peritoneal adhesions, placenta accreta / adhesion, postpartum hemorrhage, placenta previa and uterine rupture in observation group was significantly higher than that in control group (P <0.05). There was no significant difference between the two groups in the incidence of postoperative wound healing (P> 0.05). Observation group cesarean section abdominal transverse incision again cesarean section delivery time, the total operation time was significantly longer than the abdominal wall longitudinal incision, bleeding was significantly more than abdominal longitudinal incision, the difference was statistically significant (P <0.05). Conclusion: There are many complications of uterine pregnancy with repeated cesarean section. Cesarean section with non-medical indications must be strictly controlled to reduce the rate of cesarean section and promote the quality of obstetrics.