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目的:为了减少及减轻第二次剖宫产病人的粘连、痛苦及医生的操作难度。方法:对本院妇产科2012年1月至2014年6月行二次剖宫产的73例住院病人的临床资料进行回顾性分析,就其手术操作总时间、切皮到胎儿娩出时间、手术失血量、粘连等进行比较。结果:腹壁纵切口的53例有4例腹腔粘连,且粘连较轻、手术操作容易、手术时间短;腹壁横切口20例有7例腹腔粘连、粘连较重、手术操作困难、手术时间长。两者对比有显著性差异(p<0.01)。结论:腹壁横切口第二次剖宫产比腹壁纵切口剖宫产粘连发生率高,手术操作困难、手术操作时间长、病人痛苦。
OBJECTIVE: To reduce and mitigate the adhesion, pain and physician’s difficulty in the second cesarean section. Methods: The clinical data of 73 inpatients who underwent second cesarean section from January 2012 to June 2014 in our hospital were retrospectively analyzed. The total operative time, the time from skin incision to fetus delivery, Surgery blood loss, adhesions, etc. were compared. Results: 53 cases of abdominal longitudinal incision had 4 cases of peritoneal adhesions, and the adhesion was light, the operation was easy and the operation time was short. In the abdominal transverse incision, there were 7 cases with abdominal adhesions and severe adhesions in 20 cases. The operation was difficult and the operation time was long. There was significant difference between the two (p <0.01). Conclusion: The incidence of second cesarean section in transverse abdominal incision is higher than that of abdominal longitudinal incision in cesarean section. The surgical operation is difficult, the operation time is long and the patient is suffering.