| 程占莲 张政梅 薛爱琴 李晓琴 梁娜.两种剖宫产术在疤痕子宫再次妊娠中的对比研究[J].,2015,15(28):5516-5518 |
| 两种剖宫产术在疤痕子宫再次妊娠中的对比研究 |
| Comparative Study of Two Kinds Cesarean Section in the Uterine ScarPregnancy |
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| DOI： |
| 中文关键词: 疤痕子宫再次妊娠 SCS 并发症 |
| 英文关键词: Uterine scar pregnancy Stark cesarean section Complications |
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| 中文摘要: |
| 目的：探究应用子宫下段剖宫产术（Lower uterine cesarean section，LUCS）和斯塔克剖宫产术（Stark cesarean section，SCS）于
疤痕子宫再次妊娠的效果。方法：选择2012 年3 月至2013 年10 月在我院再次妊娠的疤痕子宫产妇187 例，观察组95 例应用
LUCS，对照组92 例应用SCS。观察对比两组病患手术指标和术后并发症以及新生儿Apgar评分。结果：两组新生儿均成功存活。
观察组的手术出血量（293± 72）mL 和住院时间（4.1± 0.53）d，少于对照组(P 均为0.00)，产后症状表现更好。观察组在产后出血、
产后发热以及产褥感染中的比例均低于对照组（P=0.02；P=0.01；P=0.04）。而且观察组未出现子宫破裂，盆腔粘连发生率为3.16 %
（3/95），少于对照组的13.04 %（12/92）（P=0.04，P=0.01）；观察组新生儿Apgar评分更高，差异均有统计学意义（P=0.00）。结论：应
用LUCS 于疤痕子宫再次妊娠的可行性更强，不仅减少产妇术后并发症的发生率，也提高了新生儿Apgar评分，值得临床推荐。 |
| 英文摘要: |
| Objective：To explore the application of lower uterine cesarean section and Stark cesarean section in scar uterus
pregnancy.Methods:187 cases with uterine scar pregnancy were selected from March 2012 March to October 2013 October in our
hospital and divided into two groups.95 cases of the observation group were treated with uterine lower segment cesarean section, and 92
cases in the control group were given the stark cesarean section. The intraoperative indexes and postoperative complications and neonatal
Apgar score were recorded and compared between two groups.Results:All the neonates in two groups survived. The amount of
intraoperative bleeding (293 ± 72) mL and the days of hospital stay (4.1 ± 0.53) d was less than those of the control group. postpartum
symptoms was better in the observation group (P=0.00). The rate of postpartum hemorrhage, postpartumfever, puerperal infection in the
observation group were lower than the control group（P=0.02;P=0.01;P=0.04）.The rupture of uterus was not detectable in the observation
group, and the pelvic adhesion rate was 3.16 %(3/95), less than 13.04 % of control group (12/92) (P=0.04，P=0.01）. Group Apgar score
of neonates was higher in the observation group and the differences were statistically significant （P=0.00）.Conclusion:The uterine
lower segment cesarean section has great feasibility, which can not only reduce the incidence of maternal complications, but also
improve the neonatal Apgar score, worthy of recommendation. |
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