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[摘要] 目的：探讨瘢痕子宫再次妊娠应用剖宫产与阴道分娩的临床效果。方法：选取本院2008年1月～2010年6月100例瘢痕子宫再次妊娠分娩的临床资料进行统计分析，比较瘢痕子宫再次妊娠应用剖宫产与阴道分娩的临床效果。结果：两组经阴道分娩的产后2 h出血量、产程时间、产后发热情况、新生儿窒息的发生率及住院时间等方面分别比较，差异均无统计学意义（P＞0.05）。但与非瘢痕子宫行剖宫产组比较，瘢痕子宫组的产后2 h出血量多，产程长，切口非甲级愈合率高，住院时间长，差异有统计学意义（P＜0.05或＜0.01）。结论：对于剖宫产后再次妊娠的产妇，只要有试产的条件，阴道试产不失为一种安全、有效、经济的分娩方式，可以降低剖宫产率，值得广大产科医生予以重视。
[关键词] 瘢痕子宫；再次妊娠；剖宫产；阴道分娩
[中图分类号] R714 [文献标识码]A[文章编号]1674-4721（2011）03（c）-023-02
Uterine scar pregnancy again, clinical observation of different delivery methods
CHEN Xiaohong
Maternal and Child Health Hospital, Nanshan District, Shenzhen City, Guangdong Province, Shenzhen 518052, China
[Abstract] Objective: To explore the application of subsequent pregnancy cesarean uterine scar and the clinical effects of vaginal delivery. Methods: The hospital in January 2008 to June 2010 100 cases of uterine scar pregnancy and delivery again, statistical analysis of clinical data, application of subsequent pregnancy compared cesarean uterine scar and vaginal delivery of clinical results. Results: After 2 hours of vaginal delivery postpartum hemorrhage, birth process, postpartum fever cases, the incidence of neonatal asphyxia and hospital stay time were compared, no significant difference (P>0.05). However, cesarean section and non-scarred uterus group, the scarred uterus group 2 hours the amount of bleeding after childbirth, labor length, wound healing of non-high grade, long hospital stay, the difference was statistically significant (P
