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目的:探析二次剖宫术的手术方式与技巧。方法:随机选取2007年12月-2012年12月行二次剖宫产的产妇120例,分别采用避开初次剖宫产切口以及常规纵切口方式进行手术,对手术基本情况(包括手术出血量、胎儿娩出时间、手术时间、切口愈合时间以及住院天数)、术后不良反应情况以及切口良好愈合率和产妇满意率予以比较分析。结果:观察组手术出血量更少,胎儿娩出时间、手术时间、切口愈合时间及住院天数均相对要少;出现新生儿窒息、膀胱受损及子宫切口撕裂几种不良情况的几率为5.1%,对照组则为26.7%;另外,观察组术后切口良好愈合率以及产妇的满意率均明显更高(P<0.05)。结论:二次剖宫产选择合适的手术切口,注意手术技巧,严格执行手术操作,利于手术效果的改善及不良情况发生率的降低,值得临床推广。
Objective: To explore the surgical methods and techniques of secondary cesarean section. Methods: 120 cases of second cesarean section were randomly selected from December 2007 to December 2012. Surgical operation was performed to avoid the first cesarean section incision and conventional longitudinal incision respectively. The basic operation conditions (including the amount of surgical bleeding , Fetus delivery time, operation time, incision healing time and hospitalization days), postoperative adverse reactions as well as incision healing rate and maternal satisfaction rate were comparatively analyzed. Results: The operation group had less bleeding, the time of delivery, the time of operation, the time of incision healing and hospital stay were fewer in the observation group. The incidence of adverse reactions such as asphyxia, bladder injury and torn uterine incision were 5.1% Compared with 26.7% in the control group. In addition, the good healing rate of the incision and the satisfaction rate of the maternal women in the observation group were significantly higher (P <0.05). Conclusion: The second cesarean section to select the appropriate surgical incision, pay attention to surgical techniques, strict implementation of surgical procedures, which will help to improve the surgical results and reduce the incidence of adverse events, is worth clinical promotion.