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目的探讨剖宫产术式的手术效果、操作技巧。方法分析1668例剖宫产产妇术中、术后情况,并以剖宫产手术不同的术式比较,观察手术时间、出血量、术后疼痛持续时间及术后肛门排气时间等。结果新式剖宫产术组手术时间、切皮到取胎头平均时间明显缩短,术后持续性疼痛、术后肛门排气时间明显缩短,住院天数减少(P<0.01)。新式剖宫产组出血量比腹膜内子宫下段剖宫产术少排气时间明显缩短(P<0.01)。结论新式剖宫产术手术时间短,操作简单,术后疼痛排气时间明显缩短,出血量少,易于基层医院医生学习,值得推广应用。
Objective To explore cesarean section operation effect and operation skill. Methods 1668 cases of cesarean section during and after operation were analyzed. The operation time, amount of bleeding, duration of postoperative pain and time of postoperative anal exhaust were observed. Results The operation time of the new cesarean section group, the average time from skin incision to fetus fetus was significantly shortened, postoperative persistent pain, anal exhaust time was significantly shortened, and hospitalization days were decreased (P <0.01). The bleeding volume in the new cesarean section group was significantly shorter than that in the cesarean section intraperitoneal uterine segment (P <0.01). Conclusion The new operation of cesarean section has short operative time, simple operation, significantly shortened postoperative pain exhaust time, less blood loss, and is easy to be studied by doctors in primary hospitals. It is worth popularizing and applying.