中国医学创新2025，Vol.22Issue(4)：130-134,5.DOI:10.3969/j.issn.1674-4985.2025.04.030
不同妊娠间隔时间的瘢痕子宫孕妇子宫瘢痕愈合情况和分娩结局
Uterine Scar Healing and Delivery Outcomes in Pregnant Women with Scarred Uterus and Different Gestational Interval
王艳 1聂金花 1周丽萍1
作者信息
- 1. 宜春市人民医院功能科 江西 宜春 336000
- 折叠
摘要
Abstract
Objective:To observe uterine scar healing and delivery outcomes of pregnant women with scarred uterus at different gestation intervals.Method:Seventy pregnant women with scarred uterus in Yichun People's Hospital from October 2021 to October 2023 were selected as the study objects.According to the interval time since the last pregnancy,22 cases were divided into group A(2 years<interval time≤3 years),group B(3 years<interval≤6 years)30 cases,group C(6 years<interval≤10 years)18 cases.The healing of uterine scar in the three groups was examined by color ultrasound and compared.The success rate of vaginal trial labor,delivery situation and maternal and infant outcomes were observed.Result:There were significant differences in the grading of uterine scar healing among the three groups,and the difference was also statistically significant between group A and group C(P<0.05).The difference in success rate of vaginal trial labor among the three groups was statistically significant,and which was higher in group A and group B than group C(P<0.05).There were statistically significant differences in the amount of Oxytocin and intraoperative blood loss among the three groups(P<0.05).The amount of Oxytocin in group A was lower than that in group B and group C,the amount of Oxytocin in group B was lower than that in group C,and the amount of blood loss in group A was higher than that in group C(P<0.05).There were significant differences in length of hospital stay among the three groups(P<0.05),and which was shorter in group A and group B than group C(P<0.05).The incidence of uterine rupture in group A was lower than that in group C(P<0.05).Conclusion:Pregnant women with scarred uterus who are 2 to 6 years from the last pregnancy have better scar healing,higher success rate of vaginal trial labor,less uterine hormone dosage and intraoperative blood loss,lower risk of uterine rupture,and higher safety of delivery.关键词
瘢痕子宫/再次妊娠/分娩结局Key words
Uterine scar healing/Re-pregnancy/Maternal and neonatal outcome引用本文复制引用
王艳,聂金花,周丽萍..不同妊娠间隔时间的瘢痕子宫孕妇子宫瘢痕愈合情况和分娩结局[J].中国医学创新,2025,22(4):130-134,5.
