行腹膜外剖宫产术时 ,在侧脐韧带与中脐韧带之间进行操作 ,不切断腹壁任何韧带 ,用撕拉、钝性剥离的方法分离膀胱与腹膜 ,子宫切口连续缝合两层 ,并将宫颈前筋膜与子宫切口浅层一并连续缝合。该方法不仅缩短了手术时间 ,避免了新生儿 Apgar’s低评分、新生儿窒息的发生 ,而且维持了腹壁结构的完整性 ,可进一步降低术后各种近、远期并发症的发生率 During extraperitoneal cesarean section, the operation was performed between the umbilical cord and the umbilical cord without cutting off any ligaments in the abdominal wall. The bladder and peritoneum were separated by tearing and blunt dissection. The uterine incision was stitched into two layers continuously Cervical fascia and uterine incision shallow continuous suture. The method not only shortens the operation time, avoids the low score of neonatal Apgar, neonatal asphyxia, but also maintains the integrity of the abdominal wall structure, which can further reduce the incidence of postoperative complications of various short and long term