二次剖宫产术后并发症发生情况的临床分析(1)
摘 要：目的 研究我院二次妊娠剖宫产术后并发症发生情况，分析原因并提出预防措施。方法 选择2016年1月～2017年3月我院118例二次妊娠合并瘢痕子宫行二次剖宫产的产妇、126例二次妊娠首次行剖宫产的产妇及186例二次自然分娩产妇的病历资料进行回顾性分析，两两比较三组分娩前后并发症的发生率。结果 二次剖宫产组产妇的盆腹腔黏连、前置胎盘、产后出血、胎盘置入等并发症与首次剖宫产组及二次自然分娩组相比均较高，差异有统计学意义(P<0.05)；首次剖宫产与二次自然分娩产妇分娩前后并发症发生率比较差异无统计学意义(P>0.05)。结论 瘢痕子宫再次剖宫产术后并发症发生率较高，应提倡降低剖宫产率，鼓励自然分娩。
关键词：瘢痕子宫；二次剖宫产；并发症；二次妊娠
中图分类号：R719 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.08.038
文章编号：1006-1959(2018)08-0114-02
, http://www.100md.com
Clinical Analysis of Complications after Secondary Cesarean Section
YUE Feng-jie
(Department of Gynaecology，Tianjin Ninghe District Hospital，Tianjin 300000，China)
Abstract：Objective To study the complications after cesarean section of secondary pregnancy in our hospital，analyze the causes and put forward the preventive measures.Methods From January 2016 to March 2017，the medical records of 118 cases of second pregnancy with scar uterus undergoing cesarean section in our hospital were analyzed retrospectively.126 cases of second pregnancy the first cesarean section and 186 cases of the second natural delivery were analyzed retrospectively.Comparing the incidence of complications before and after the three components between the two.Results Postpartum cesarean section group of maternal pelvic and abdominal adhesions，placenta previa，postpartum hemorrhage，placenta placement and other complications compared with the first cesarean section and the second natural delivery group were higher， the difference was statistically significant(P<0.05)；There was no significant difference in the incidence of complications before and after the first cesarean delivery and the second natural delivery of maternal delivery(P>0.05).Conclusion The incidence of complications after cesarean section in scar uterus is high，and the rate of cesarean section should be reduced and natural delivery should be encouraged.
, 百拇医药
Key words：Scar uterus；Secondary cesarean section；Complications；Secondary pregnancy
目前，由各種原因造成的非医学指征的剖宫产手术也随之增多，导致很多女性瘢痕子宫再次妊娠。受精卵如在瘢痕处着床，易导致前置胎盘、子宫破裂及产后出血等并发症，甚至威胁产妇生命[1]。因此，瘢痕子宫再次妊娠后的并发症发生情况及有效预防是临床亟待解决的问题。本研究总结分析瘢痕子宫再次妊娠产妇剖宫产手术前后的并发症发生情况，与初次剖宫产及二次自然分娩产妇比较，以了解瘢痕子宫再次剖宫产术后的并发生情况、分析其产生原因并提出有效的预防措施。
1 资料与方法
1.1一般资料 选择2016年1月～2017年3月天津市宁河区医院二次妊娠合并瘢痕子宫行二次剖宫产的118例产妇作为二次剖宫产组，同一时间段我院二次妊娠首次行剖宫产的126例产妇作为首次剖宫产组，另选择同期于我院二次自然分娩的186例产妇作为二次自然分娩组。其中二次剖宫产组产妇年龄28～46岁，平均年龄(31.15±6.23)岁；瘢痕子宫10个月～10年，平均(5.24±2.45)年；首次剖宫产组产妇年龄20～38岁，平均年龄(28.43±3.12)岁；二次自然分娩组产妇年龄29～45岁，平均年龄(33.41±5.09)岁。三组年龄差异无统计学意义(P>0.05)，可对比。, http://www.100md.com(岳凤洁)
关键词：瘢痕子宫；二次剖宫产；并发症；二次妊娠
中图分类号：R719 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.08.038
文章编号：1006-1959(2018)08-0114-02
, http://www.100md.com
Clinical Analysis of Complications after Secondary Cesarean Section
YUE Feng-jie
(Department of Gynaecology，Tianjin Ninghe District Hospital，Tianjin 300000，China)
Abstract：Objective To study the complications after cesarean section of secondary pregnancy in our hospital，analyze the causes and put forward the preventive measures.Methods From January 2016 to March 2017，the medical records of 118 cases of second pregnancy with scar uterus undergoing cesarean section in our hospital were analyzed retrospectively.126 cases of second pregnancy the first cesarean section and 186 cases of the second natural delivery were analyzed retrospectively.Comparing the incidence of complications before and after the three components between the two.Results Postpartum cesarean section group of maternal pelvic and abdominal adhesions，placenta previa，postpartum hemorrhage，placenta placement and other complications compared with the first cesarean section and the second natural delivery group were higher， the difference was statistically significant(P<0.05)；There was no significant difference in the incidence of complications before and after the first cesarean delivery and the second natural delivery of maternal delivery(P>0.05).Conclusion The incidence of complications after cesarean section in scar uterus is high，and the rate of cesarean section should be reduced and natural delivery should be encouraged.
, 百拇医药
Key words：Scar uterus；Secondary cesarean section；Complications；Secondary pregnancy
目前，由各種原因造成的非医学指征的剖宫产手术也随之增多，导致很多女性瘢痕子宫再次妊娠。受精卵如在瘢痕处着床，易导致前置胎盘、子宫破裂及产后出血等并发症，甚至威胁产妇生命[1]。因此，瘢痕子宫再次妊娠后的并发症发生情况及有效预防是临床亟待解决的问题。本研究总结分析瘢痕子宫再次妊娠产妇剖宫产手术前后的并发症发生情况，与初次剖宫产及二次自然分娩产妇比较，以了解瘢痕子宫再次剖宫产术后的并发生情况、分析其产生原因并提出有效的预防措施。
1 资料与方法
1.1一般资料 选择2016年1月～2017年3月天津市宁河区医院二次妊娠合并瘢痕子宫行二次剖宫产的118例产妇作为二次剖宫产组，同一时间段我院二次妊娠首次行剖宫产的126例产妇作为首次剖宫产组，另选择同期于我院二次自然分娩的186例产妇作为二次自然分娩组。其中二次剖宫产组产妇年龄28～46岁，平均年龄(31.15±6.23)岁；瘢痕子宫10个月～10年，平均(5.24±2.45)年；首次剖宫产组产妇年龄20～38岁，平均年龄(28.43±3.12)岁；二次自然分娩组产妇年龄29～45岁，平均年龄(33.41±5.09)岁。三组年龄差异无统计学意义(P>0.05)，可对比。, http://www.100md.com(岳凤洁)