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目的:探讨剖宫产间断关闭腹膜与紧密闭合腹膜盆腹腔粘连情况。方法:采用回顾性分析的方法,将二次剖宫产手术患者分为观察组与对照组,首次剖宫产间断闭合腹膜为观察组;首次剖宫产紧密闭合腹膜为对照组,比较两组患者二次开腹手术腹腔粘连情况、手术时间及术中出血量。结果:腹腔粘连发生率对照组(52.50%)明显大于观察组(32.61%);术中出血量观察组〔(259±17)ml〕明显少于对照组〔(358±28)ml〕;手术时间观察组〔(28.9±3.5)min〕短于对照组〔(35.1±8.4)min〕,差异均有统计学意义(均P<0.05)。结论:剖宫产间断关闭腹膜可以减少盆腹腔脏器粘连,节约手术时间,减少出血量。
Objective: To investigate the cesarean section intermittent closure of the peritoneum and closed abdominal peritoneal adhesions. Methods: Retrospective analysis of the method, the second cesarean section was divided into observation group and control group, the first cesarean section closed peritoneal closure group; cesarean section close the peritoneum for the first time as the control group, compared two groups Patients underwent open abdominal surgery abdominal adhesions, operation time and intraoperative blood loss. Results: The incidence of intraperitoneal adhesions in the control group (52.50%) was significantly higher than that in the observation group (32.61%); the amount of bleeding in the observation group (259 ± 17) ml was significantly less than that in the control group (358 ± 28) ml; The time of observation group 〔(28.9 ± 3.5) min〕 was shorter than that of control group 〔(35.1 ± 8.4) min〕, the difference was statistically significant (all P <0.05). Conclusion: Cesarean section intermittent closure of the peritoneum can reduce pelvic adhesions, reduce operative time and reduce bleeding.