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目的探讨疤痕子宫再次剖宫产的临床效果及手术并发症情况。方法对安庆市第一人民医院2010年1月至2013年11月收治的80例疤痕子宫再次行剖宫产术的临床资料进行回顾性分析。结果观察组产妇术中粘连率为40%,明显的低于对照组的64%,观察组产妇剖宫产手术时间、术中出血量和进腹到胎儿娩出时间均明显低于对照组情况,差异有统计学意义(P<0.05)。结论疤痕子宫孕妇再次行剖宫产应严格掌握剖宫产指征,采取改良剖宫产手术能够有效的降低出血量和术中粘连度,提高剖宫产效果。
Objective To investigate the clinical effect and surgical complications of scar cesarean section. Methods A retrospective analysis was conducted on the clinical data of 80 cases of scarred uterus who underwent cesarean section again from January 2010 to November 2013 in Anqing First People’s Hospital. Results The rate of intraoperative adhesions in the observation group was 40%, which was significantly lower than 64% in the control group. The cesarean section operation time, intraoperative blood loss and infancy to fetal delivery time in the observation group were significantly lower than those in the control group, The difference was statistically significant (P <0.05). Conclusion Cesarean section in pregnant women with scar uterine stricture should be strictly controlled by indications of cesarean section. Taking modified cesarean section can effectively reduce the amount of bleeding and intraoperative adhesions and improve the effect of cesarean section.