剖宫产术后瘢痕子宫再次妊娠阴道试产的可行性分析

目的：探讨剖宫产术后瘢痕子宫再次妊娠的分娩方式。方法：回顾性分析2008年1月-2013年6月200例在本院分娩的剖宫产术后孕妇的临床资料，统计分析分娩方式。结果：200例孕妇中有87例符合阴道试产标准，试产率为43．5％（87／200）；有8例阴道试产失败，中转剖宫产，阴道试产成功79例（阴道分娩组），成功率为90．8％（79／87），阴道分娩率为39．5％（79／200）；行剖宫产者121例（剖宫产组），剖宫产率为60．5％（121／200）；有1例孕妇出现子宫破裂（0．50％，1／200）；阴道分娩组产妇产后24h出血量明显少于剖宫产组，差异有统计学意义（t=2．987，P〈0．05）；阴道分娩组新生儿体重明显低于剖宫产组（t=3．024，P〈0．05）；两组患者在孕妇年龄、孕周、产褥病率及新生儿窒息发生率等方面比较差异无统计学意义（P〉0．05）。结论：剖宫产术后瘢痕子宫再次妊娠给予阴道试产是可行的。

Feasibility Analysis of Vaginal Delivery in Cesarean Scar Uterine Pregnancy

Objective： To explore the mode of delivery after cesarean section scar uterine pregnancy purpose. Method： Retrospective analysis of 200 cases clinical data from January 2008 to June 2013, made a statistical analysis of delivery mode of maternal in our hospital after cesarean section.Result： 87 pregnant women were treated with vaginal trial production standards in 200 cases, production rate was 43.5% （ 87/200 ） .There were 8 cases of vaginal delivery failure, transfer of cesarean section, vaginal delivery was successful in 79 cases （vaginal delivery group ）, the success rate was 90.8% （ 79/87 ）, vaginal delivery rate was 39.5% （ 79/200 ） ; 121 cases of cesarean section （ cesarean section group ）, the rate of cesarean section was 60.5% （ 121/200 ） ; 1 pregnant women with uterine rupture occurred （ 0.50%, 1/200 ） ; The 24 h postpartum bleeding volume of vaginal delivery group was less than that in cesarean section group, the difference was statistically significant （ t=2.987, P〈0.05 ） ; Neonatal weight of vaginal birth group was significantly lower than that of cesarean section group （ t=3.024, P〈0.05 ） ; The maternal age, gestational weeks, puerperal infection and neonatal asphyxia rate of the two groups had no significant difference （P〉0.05） .Conclusion： The vaginal delivery of cesarean scar uterine pregnancy is feasible.