瘢痕子宫两个月后再次妊娠1例报告并文献复习

Re-Pregnancy after Two Months Interval of Scar Uterus: A Case Report and Literature Review

摘要: 瘢痕子宫是指经过剖宫产或妇产科手术后，子宫切口处留下瘢痕。随着国家生育政策的调整，“三孩”时代的到来，瘢痕子宫再次妊娠的女性逐年增加。瘢痕子宫再次妊娠对整个孕期有着明显的影响，可能会造成子宫破裂、胎盘早剥、感染、粘连、切口愈合不良等后果，严重影响母婴结局。所以，选择合适的时间再次妊娠，以减少上述风险发生的概率，引起了越来越多的重视。本文回顾性分析1例瘢痕子宫间隔2个月后再次妊娠的临床资料，并对国内外瘢痕子宫再次妊娠的相关文献进行归纳总结，探讨瘢痕子宫的适宜妊娠间隔，为瘢痕子宫再妊娠的孕前咨询及孕期保健提供思路。

Abstract: Scar uterus refers to the scar left in the uterine incision after cesarean section or obstetrics and gy-necology operation. With the adjustment of national fertility policy, “three births” era has arrived, the number of women who get pregnant again in scar uterus is increasing year by year. The second pregnancy of scar uterus has a significant impact on the whole pregnancy, which may cause uterine rupture, placental abruption, infection, adhesion, poor incision healing and other consequences, se-riously affecting the maternal and infant outcome. Therefore, it has attracted more and more atten-tion to choose the right time to get pregnant again in order to reduce the probability of the above risks. In this paper, the clinical data of a case of re-pregnancy after 2-month interval of scar uterus were analyzed retrospectively, and the relevant literatures about re-preg- nancy of scar uterus at home and abroad were summarized to explore the appropriate pregnancy interval of scar uterus to provide ideas for pre-pregnancy counseling and health care of scar uterus.