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目的观察和探讨防粘连冲洗液在重复性剖宫产中的应用效果。方法选择于2013年8月—2015年1月该院收治的进行重复剖宫产的800例患者作为研究对象,重复性剖宫产中使用防粘连冲洗液(羧甲基壳聚糖及平衡液)的400例患者作为治疗组,未使用防粘连冲洗液的400例患者作为对照组。其中治疗组25例第3次剖宫产,对照组18例第3次剖宫产。两组患者根据体征及B超进行粘连比较,并且对两组第3次剖宫产产术中粘连情况进行比较。结果观察组的粘连发生率显著低于对照组,并且差异有统计学意义(P<0.05)。结论防粘连冲洗液可以显著降低重复性剖宫产的粘连发生率,值得临床推广应用。
Objective To observe and discuss the effect of anti-blocking irrigation solution in repeated cesarean section. Methods Eight hundred and eighty patients who underwent repeat cesarean section in our hospital from August 2013 to January 2015 were enrolled in this study. Anti-adhesion flushing solution (carboxymethyl chitosan and balance solution ) Of 400 patients as the treatment group, not using anti-adhesion solution of 400 patients as a control group. The treatment group 25 cases of the third cesarean section, the control group 18 cases of the third cesarean section. Two groups of patients based on signs and B-adhesions compared, and the third group of cesarean section adhesions in the two groups were compared. Results The incidence of adhesion in observation group was significantly lower than that in control group, and the difference was statistically significant (P <0.05). Conclusion Anti-blocking irrigation fluid can significantly reduce the incidence of repetitive cesarean section adhesions, it is worth promoting the clinical application.