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本文就1990～1997年10例因剖宫产术后子宫切口疤痕粘连致计划生育手术困难者的发生原因、诊断、及其并发症的预防进行探讨。 一、临床资料 受术者年龄25～38岁。术时孕周<8周1例。9、14、20周各1例。剖宫产术后距本次妊娠时间,<5年者7例,>5年者3例,最短2年,最长11年。术后腹壁切口延期愈合或伴术后感染发热史者9例。术前查体,腹壁切口疤痕大而不规则者6例,宫颈短小悬吊于前穹窿或侧穹窿,暴露困难者7例,子宫后倾后屈3例,宫体与腹壁粘连活动受限1例。
This article from 1990 to 1997 in 10 cases of caesarean section after hysterectomy due to scar adhesions caused by family planning operation of the causes, diagnosis, and prevention of complications to explore. First, the clinical data by the age of 25 to 38 years old. 1 week gestational week <8 weeks. 9,14,20 weeks each in 1 case. Cesarean section from the time of pregnancy, <5 years in 7 cases,> 5 years in 3 cases, the shortest 2 years, up to 11 years. Postoperative abdominal incision delayed healing or with fever after infection in 9 cases. Preoperative examination, abdominal incision large and irregular incision in 6 cases, short cervical hanging in the anterior or fornix orifices, 7 cases of exposure difficulties, posterior uvula retroversion in 3 cases, Palace and abdominal adhesions limited 1 example.