论文部分内容阅读
目的:通过比较三种不同剖宫产术式下腹腔粘连形成情况,筛选有效预防腹腔粘连发生的术式。方法:将2011年1月~2012年12月入住该院的240例行不同剖宫产术的产妇按照抽签方法随机地均分为A、B、C三组,各为80例,分别行传统下腹部纵切口子宫下段剖宫产术、新式剖宫产术及改良新式剖宫产术。比较三组腹腔粘连发生的部位、分级以及术后间隔时间与腹腔粘连的关系。结果:①三组腹腔粘连发生部位包括:膀胱与子宫下段、大网膜与腹壁切口、大网膜与子宫下段、膀胱与子宫中段,发生例数分别为22例、23例和6例,C组腹腔粘连发生率显著小于A、B两组,差异有统计学意义(P<0.01),但A、B两组差异无统计学意义(P>0.05);②A、B、C三组发生重度腹腔粘连例数分别为7例、9例和0例,C组腹腔粘连程度显著小于A、B两组,差异有统计学意义(P<0.05);③三组术后间隔1~5年与≥6年腹腔粘连发生总数相比,差异均无统计学意义(P>0.05)。结论:改良新式剖宫产术能够有效降低腹腔粘连的发生,且粘连发生程度最轻,应在临床上加以推广并应用。
Objective: To compare the formation of three different cesarean section under the abdominal adhesions, screening effective surgical prevention of abdominal adhesions. Methods: From January 2011 to December 2012, 240 women undergoing different caesarean sections admitted to the hospital were randomly divided into A, B and C groups according to the random sampling method. Each group was 80 cases, Lower abdominal longitudinal incision cesarean section, new cesarean section and improved cesarean section. The location of the abdominal adhesions, grading and the relationship between the postoperative interval and the abdominal adhesions were compared. Results: ①The incidence of abdominal adhesions in the three groups included bladder and lower uterine segment, omentum and abdominal incision, omentum and lower uterine segment, bladder and uterus, with 22 cases, 23 cases and 6 cases, respectively The incidence of intraperitoneal adhesion was significantly lower in group A and group B than in group A and B (P <0.01), but there was no significant difference between group A and group B (P> 0.05) The number of peritoneal adhesions were 7 cases, 9 cases and 0 cases respectively. The degree of abdominal adhesions in group C was significantly lower than that in group A and B (P <0.05) ≥ 6 years compared with the total number of abdominal adhesions, the difference was not statistically significant (P> 0.05). Conclusion: The new cesarean section can effectively reduce the incidence of abdominal adhesions, and the degree of adhesion is the lightest, which should be popularized and applied clinically.