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目的了解Pfannenstiel切口式剖宫产对再次剖宫产娩出胎儿结局的影响。方法对该院2012年3月~2014年3月收治的再次剖宫产患者68例进行抽样,随机分成对照组和实验组,对照组予以新式剖宫产术,实验组予以Pfannenstiel切口式剖宫产术,观察两组患者临床疗效。结果实验组手术时间(30.82±5.64)min明显大于对照组(23.65±4.52)min,差异有统计学意义(P<0.05);实验组出血量及手术开始至胎儿娩出时间(260.62±50.23,5.23±2.13)与对照组(262.31±51.43,5.02±1.83)比较,差异无统计学意义(P>0.05),且娩头困难率、重度窒息发生率(7.89%、5.26%)与对照组(5.26%,7.89%)比较,差异无统计学意义(P>0.05)。结论 Pfannenstiel切口式剖宫产对再次剖宫产娩出胎儿结局有重要影响,应足够重视。
Objective To understand the effect of Pfannenstiel incision cesarean delivery on the fetal outcome after cesarean delivery. Methods A total of 68 cesarean section patients who were admitted to our hospital from March 2012 to March 2014 were randomly divided into control group and experimental group. The control group was given new cesarean section. The experimental group was given Pfannenstiel incision cesarean section Production, observe the clinical efficacy of two groups of patients. Results The operation time (30.82 ± 5.64) min in the experimental group was significantly higher than that in the control group (23.65 ± 4.52) min, the difference was statistically significant (P <0.05). The bleeding volume in the experimental group and the time from the start of operation to the delivery of the fetus were 260.62 ± 50.23 and 5.23 ± 2.13) compared with the control group (262.31 ± 51.43,5.02 ± 1.83), the difference was not statistically significant (P> 0.05), and the rate of delivery head difficulty, incidence of severe asphyxia (7.89%, 5.26% %, 7.89%), the difference was not statistically significant (P> 0.05). Conclusions Pfannenstiel incision cesarean section has important influence on cesarean delivery of fetus outcome, which should be taken seriously.