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剖宫产术后瘢痕妊娠的相关因素分析

  • 刘一萍,李廉

* 通信作者: 刘一萍, 单位:广西南宁市第一人民医院

摘要


目的 探究剖宫产术后疤痕妊娠的相关危险因素,以为这类妊娠期女性的临床诊疗积累循证经验。

方法 采取病例对照的科研设计思路,于2016年3月至2017年5月将48例剖宫产术后疤痕妊娠女性设为研究组,而选取51例同期有剖宫产史但再次妊娠未出现疤痕妊娠者作为对照组。通过整合病史资料以及问卷调研,再借助单因素分析以及logistic回归分析,从而逐一明确疤痕妊娠相关危险性因素。

结果 单因素分析显示两组在终止宫内妊娠以外的盆腹腔手术史、流产次数、末次剖宫/流产时间、妊娠早期阴道流血方面差异均有统计学意义(P<0.05)。多因素分析发现末次剖宫/流产时间、妊娠早期阴道流血为疤痕妊娠发病的独立危险因素。

结论 疤痕妊娠发生的独立危险因素可能包括末次剖宫/流产时间、早孕期阴道流血,临床医生应引起重视,并在早期实施相应干预。

关键词:剖宫产;疤痕妊娠;相关因素

ABSTRACT


Objective To explore the related risk factors of scar pregnancy after cesarean section, and to accumulate evidence-based experience for clinical diagnosis and treatment of women with this kind of pregnancy.

Methods case control research and design ideas, from March 2016 to May 2017, 48 cases of cesarean scar pregnancy women for the study group, and selected 51 cases with a history of cesarean section pregnancy but did not appear scar pregnancy as control group. By integrating the medical history data and questionnaire survey, and by means of single factor analysis and logistic regression analysis, the related risk factors of scar pregnancy were identified.

Results single factor analysis showed that there were significant differences between the two groups in the operation history, the number of abortions, the time of the last cesarean section / abortion, and the vaginal bleeding in early pregnancy (P<0.05). Multivariate analysis showed that the last cesarean section / abortion time and early pregnancy vaginal bleeding were the independent risk factors of scar pregnancy.

Conclusion   the independent risk factors of scar pregnancy may include the time of last cesarean section / abortion and vaginal bleeding in early pregnancy. Clinicians should pay attention to this problem and implement corresponding intervention in the early stage.

Key words: cesarean section; scar pregnancy; related factors

引用本文 / How to Cite This Article

刘一萍,李廉.剖宫产术后瘢痕妊娠的相关因素分析[J]. 国际精神病学杂志, , (): -

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