论文部分内容阅读
目的探讨剖宫产术式对二次妇产科手术的影响。方法 120例有剖宫产史的二次剖宫产产妇,根据其首次剖宫产术式将其分为传统子宫下段剖宫产组(传统组)42例、新式剖宫产组(新式组)40例及改良新式剖宫产组(改良组)38例,对比分析三组患者的手术时间、术中失血量、切口感染及腹腔粘连程度等情况。结果改良组患者手术时间、术中出血量及切口感染率均明显低于传统组,差异具有统计学意义(P<0.05),稍微低于新式组,但比较差异无统计学意义(P>0.05)。改良组患者腹腔粘连程度较传统组及新式组较低,相比差异具有统计学意义(P<0.05)。结论应用改良新式剖宫产术对产妇进行二次剖宫产,其所用手术时间较短,切口感染率及腹腔粘连发生率均明显降低,该方法安全有效,值得应用推广。
Objective To investigate the effect of cesarean section on secondary gynecological surgery. Methods 120 cases of second cesarean section with history of cesarean section were divided into 42 cases of traditional uterine cesarean section (traditional group), new cesarean section (new group ) And modified cesarean section (modified group), 38 cases were retrospectively analyzed. The operation time, intraoperative blood loss, incision infection and abdominal adhesions were compared between the three groups. Results The operation time, intraoperative blood loss and incision infection rate in the improved group were significantly lower than those in the traditional group (P <0.05), but slightly lower than those in the new group (P <0.05) ). The degree of peritoneal adhesions in the modified group was lower than that in the traditional group and the new one. The difference was statistically significant (P <0.05). Conclusions The second cesarean section is improved by the new cesarean section. The operation time is short, the incision infection rate and the incidence of abdominal adhesions are obviously decreased. The method is safe and effective and should be applied and popularized.