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目的观察剖宫产术式对再次妇产科手术的影响。方法将135例剖宫产后再次妇科手术患者,依据初次剖宫产术式差异分为研究组(采取改良新式剖宫产术)与对照Ⅰ组(采取子宫下段剖宫产术)、对照Ⅱ组(采取新式剖宫产术),分析比较3组患者腹腔粘连、手术时间、术中出血量、术后排气时间及切口并发症发生率。结果研究组再次手术时腹腔粘连情况优于对照Ⅰ组、对照Ⅱ组,差异均有统计学意义(P<0.05);研究组手术时间明显短于对照Ⅰ组和对照Ⅱ组,差异有统计学意义(P<0.05);3组术中出血量、术后排气时间、切口并发症差异均无统计学意义(P<0.05)。结论与传统剖宫产及新式剖宫产相互对比,改良新式剖宫产术式可明显缩短再次妇产科手术时间,避免腹腔粘连严重,且不会对再次手术产生严重不良影响,对临床推广具有较高意义。
Objective To observe the effect of cesarean section on gynecological surgery again. Methods One hundred and fifty-five patients undergoing gynecological surgery after cesarean section were divided into study group (taking modified new cesarean section) and control group Ⅰ (taking cesarean section under lower uterine segment) according to the difference of primary cesarean section. Control Ⅱ Group (take a new cesarean section), analysis and comparison of three groups of patients with abdominal adhesions, operation time, intraoperative blood loss, postoperative exhaust time and incidence of incision complications. Results The abdominal adhesions of the study group were better than the control group Ⅰ and the control group Ⅱ (P <0.05). The operation time of the study group was significantly shorter than that of the control group Ⅰ and the control group Ⅱ, the difference was statistically significant (P <0.05). There was no significant difference in the amount of intraoperative blood loss, postoperative exhaust time and incision complication (P <0.05). Conclusion Compared with the traditional cesarean section and new cesarean section, the new cesarean section method can significantly shorten the time of re-obstetrics and gynecology surgery, avoid serious abdominal adhesions and have no serious adverse effects on reoperation. Has a high meaning.