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目的 探讨腹壁纵切口及横切口剖宫产术式对再次剖宫产的影响。方法 选择腹壁纵切口剖宫产术后再次剖宫产产妇68例为A组,腹壁横切口再次剖宫产58例为B组,对两组开腹至胎儿取出时间、手术总时间、腹壁及盆腹腔粘连情况、术中出血量、子宫切口愈合情况进行比较。结果 A组开腹至胎儿取出时间、手术总时间均短于B组,差异有统计学意义(P<0.05);A组腹壁及盆腹腔重度粘连少于B组,差异有统计学意义(P<0.05);两组盆腹腔轻、中度粘连及术中出血量、子宫切口愈合情况差异无统计学意义(P>0.05)。结论 腹壁横切口剖宫产术后粘连较严重,给再次手术增加了难度。对有可能行再次剖宫产的产妇,首次手术选择腹壁纵切口是一种明智的选择。
Objective To investigate the effect of abdominal incision and transverse incision cesarean section on cesarean section. Methods 68 cases of cesarean section after abdominal incision cesarean section were selected as group A, 58 cases of cesarean section were transplanted abdominal transverse incision again. Group B was divided into two groups. The time from open to fetal removal, total operation time, abdominal wall and Abdominal adhesions, intraoperative blood loss, uterine incision healing were compared. Results The open time of fetus to fetus in group A was shorter than that in group B, the difference was statistically significant (P <0.05). There was less severe adhesions in abdominal wall and abdominal cavity in group A than in group B (P <0.05). There was no significant difference in mild and moderate pelvic abdominal adhesions, intraoperative blood loss and uterine incision healing between the two groups (P> 0.05). Conclusion Abdominal wall incision after cesarean section adhesions more serious, to re-surgery increased the difficulty. For women who have the potential to have another cesarean section, it is wise to choose the first longitudinal incision in the abdominal wall.