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目的探讨剖宫产再孕术后分娩方式,有效降低剖宫产率。方法回顾分析我院剖宫产再孕182例临床资料。结果阴道试产80例,成功65例,成功率81.2%。试产过程中和阴道分娩后诊断子宫破裂8例,其中完全破裂3例,有破口及出血5例,子宫破裂占术后妊娠总数的4.3%。同期剖宫产再孕直接选择手术102例,术中发现原子宫切口愈合不良,浆膜层完整,子宫肌层缺乏,切口周围呈紫蓝色变共9例,占术后妊娠的4.9%。剖宫产再孕阴道分娩并不增加子宫破裂风险。结论产前详细的体格检查和产科检查,结合B超,选择好病例,掌握剖宫产指征,大大降低剖宫产几率,剖宫产再孕阴道分娩是安全可行的。
Objective To investigate the mode of delivery after cesarean section and then reduce the rate of cesarean section. Methods Retrospective analysis of 182 cases of cesarean section and pregnancy in our hospital again clinical data. Results vaginal trial 80 cases, 65 cases of success, the success rate of 81.2%. 8 cases of uterine rupture were diagnosed during and after vaginal delivery. Among them, 3 cases were completely ruptured, 5 cases had rupture and bleeding, and uterine rupture accounted for 4.3% of total postoperative pregnancy. During the same period, 102 cases of cesarean pregnancy and pregnancy were directly selected. There were 9 cases of uterine incision healing, lack of myometrium, and purple-blue change around the incision, accounting for 4.9% of postoperative pregnancy. Cesarean reproductive vaginal delivery does not increase the risk of uterine rupture. Conclusion Prenatal detailed physical examination and obstetric examination, combined with B-ultrasound, choose a good case, to grasp the indications of cesarean section, greatly reducing the chance of cesarean section, cesarean section and then vaginal delivery is safe and feasible.