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目的:对首次剖宫产术式选择对下次剖宫产的影响进行分析。方法:选取我院2009年11月~2013年4月收治的2次剖宫产患者200例,依据首次剖宫产术式分为2组患者,常规切口(腹壁竖切口)组患者100例,新式切口组(腹壁横切口)患者100例,对2组患者2次剖宫产手术情况进行分析和对比。结果:新式切口组患者2次剖宫产手术住院治疗时间对比常规切口组患者,无明显差异性,无统计学意义(P>0.05)。新式切口组患者手术操作时间、术后排气时间、术中出血量、术中腹壁粘连情况、术后患者满意度均显著优越于常规手术切口组患者,差异性明显,具有统计学意义(P<0.05)。2组患者均未发生因手术操作导致的严重不良后果。结论:首次剖宫产手术采用新式切口可显著缩短手术操作时间、术后排气时间、减少术中出血量、减轻术中腹壁粘连情况,增加患者满意度,安全性较高,如能够预计产妇有2次剖宫产可能,在首次剖宫产手术时应尽量选择新式手术切口剖产手术治疗。
Objective: To analyze the effect of the first cesarean section on the next cesarean section. Methods: 200 cases of 2 cesarean sections admitted from November 2009 to April 2013 in our hospital were divided into 2 groups according to the first cesarean section, 100 cases of conventional incision (abdominal vertical incision) group, 100 cases of new incision group (abdominal transverse incision) patients, two groups of patients with 2 cesarean section were analyzed and compared. Results: There was no significant difference between the two groups in the length of cesarean section in the incision group (P> 0.05). The operation time, postoperative exhaust time, intraoperative blood loss, intraoperative abdominal adhesions, postoperative patient satisfaction were significantly superior to those in the conventional surgical incision group (P> 0.05), the difference was statistically significant (P <0.05). Neither group had severe adverse outcomes due to surgical procedures. Conclusion: The first incision for cesarean section can significantly shorten the operation time, postoperative exhaust time, reduce the amount of intraoperative blood loss, reduce intraoperative abdominal adhesions, increase patient satisfaction, higher safety, such as the expected maternal Cesarean section may have 2 times, during the first cesarean section should try to choose a new surgical incision surgical treatment.