论文部分内容阅读
目的探讨首次剖宫产不同术式对再次剖宫产的影响。方法将317例再次剖宫产患者按照首次剖宫产术式分为采用新式剖宫产术102例(Ⅰ组)、Pfannenstiel切口105例(Ⅱ组)、下腹纵切口式110例(Ⅲ组),比较其手术情况、效果及并发症。结果Ⅱ组切皮至胎儿娩出时间长于Ⅰ组、Ⅲ组(P<0.05),胎头娩出困难比率高于Ⅰ组、Ⅲ组(P<0.05);腹直肌和腹膜粘连Ⅰ、Ⅲ组明显少于Ⅱ组;大网膜和膀胱腹膜反折粘连Ⅰ、Ⅱ组明显少于Ⅲ组(P<0.05);术中出血量Ⅲ最少,Ⅱ组最多(P<0.05)。结论首次剖宫产的术式不同,可对再次剖宫产产生不同影响,应慎重选择。
Objective To investigate the effect of different cesarean sections on cesarean section again. Methods According to the first cesarean section, 317 patients undergoing cesarean section were divided into two groups: group Ⅰ (n = 102), group Pfannenstiel (n = 105), group Ⅱ (n = 110) , Compare the operation conditions, effects and complications. Results The time from skin incision to fetus in group Ⅱ was longer than that in group Ⅰ and group Ⅲ (P <0.05), and the rate of fetal head delivery was higher than that in group Ⅰ and Ⅲ (P <0.05). The rectus abdominis and peritoneal adhesions in groups Ⅰ and Ⅲ were significantly Less than in group Ⅱ. The omentum and bladder peritoneal adhesions in group Ⅰ and Ⅱ were significantly less than those in group Ⅲ (P <0.05); the amount of blood loss was the lowest in group Ⅲ and the most in group Ⅱ (P <0.05). Conclusion The first cesarean section of different surgical procedures, cesarean section may have different effects, should be carefully selected.