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目的:探讨我院腹膜外剖宫产36例的临床预后效果。方法:选择2010年2月~2012年12月我院产科收治的剖宫产分娩妇女72例,根据剖宫产方法的不同分为治疗组与对照组妇女各36例,治疗组采用腹膜外剖宫产,对照组采用传统的纵切口子宫下段剖宫产术。结果:治疗组的手术时间明显少于对照组(P<0.05),2组的切皮到胎儿娩出时间与术中出血量对比无明显差异(P>0.05)。2组新生儿出生1分钟Apgar评分对比无明显差异(P>0.05),不过治疗组产妇产后出血与切口感染的发生率明显少于对照组(P<0.05)。结论:只要术者熟悉腹膜外剖宫产适应症,操作容易掌握,安全性好,值得推广。
Objective: To investigate the clinical outcomes of 36 cases of extraperitoneal cesarean section in our hospital. Methods: From February 2010 to December 2012, 72 cases of cesarean delivery in our hospital were divided into 36 cases in the treatment group and 36 cases in the control group according to the method of cesarean section. The treatment group was treated with peritoneal Palace, control group using the traditional longitudinal incision uterine segment cesarean section. Results: The operation time in the treatment group was significantly less than that in the control group (P <0.05). There was no significant difference in the time between the skin incision and the fetus delivery and the blood loss in the two groups (P> 0.05). There was no significant difference in Apgar score between two groups (P> 0.05), but the incidence of postpartum hemorrhage and incision infection in the treatment group was significantly less than that in the control group (P <0.05). Conclusion: As long as the surgeon is familiar with the indications of extraperitoneal cesarean section, the operation is easy to grasp and the safety is good. It is worth popularizing.