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目的:探讨两种不同的剖宫产方式对再次剖宫产的手术时间以及出血量等方面的影响。分析不同的剖宫术的临床应用价值。方法:选取2011年9月到2012年9月期间住进我院分娩的产妇120例为研究对象。根据产妇第一次分娩方式的不同随机分为实验组和对照组,实验组的产妇第一次分娩采取的是改良的新式剖宫产方法;对照组第一次分娩采取的是传统的剖宫产方法。结果:实验组患者再次剖宫产中的手术时间、术中出血量、开腹时间以及住院时间明显小于对照组;实验组的术后并发症的总发生率为17.1%,对照组的术后并发症的总发生率为50.0%;实验组再次剖宫术后盆腔粘连的总发生率为77.1%,对照组的为44.0%。两组比较差异明显,P均<0.05,具有统计学意义。结论:改良式剖宫产手术方法能够降低再次剖宫产的手术时间、开腹时间、住院时间、术中出血量以及术后并发症的发生率,但是会增加盆腔粘连的发生率。
Objective: To explore the influence of two different cesarean section methods on the operation time of cesarean section and the amount of bleeding again. Analysis of different cesarean section clinical value. Methods: 120 pregnant women admitted to our hospital from September 2011 to September 2012 were selected as the research object. According to the different modes of the first delivery, the experimental group and the control group were randomly divided into experimental group and newborn cesarean section method. The first delivery in the control group adopted the traditional cesarean section Production method. Results: The operation time, intraoperative blood loss, laparotomy time and hospitalization time of the second cesarean section in the experimental group were significantly less than those in the control group. The total incidence of postoperative complications in the experimental group was 17.1% The overall incidence of complications was 50.0%. The incidence of pelvic adhesions after cesarean section was 77.1% in the experimental group and 44.0% in the control group. Significant difference between the two groups, P <0.05, with statistical significance. Conclusion: The modified cesarean section method can reduce the operation time of cesarean section, laparotomy, hospital stay, intraoperative blood loss and the incidence of postoperative complications, but will increase the incidence of pelvic adhesions.