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目的：探讨腹壁纵切口与横切口对第二次剖宫产的影响。方法将2010年7月至2012年7月我院妇产科收治的178例行第二次剖宫产术的产妇分为腹壁纵切口的观察组和腹壁横切口的对照组，比较2组胎儿娩出时间、手术时间、术中出血量及腹腔粘连程度等差异。结果观察组在胎儿娩出时间、手术时间、术中出血量等指标上均低于对照组（P＜0.05），在粘连程度上明显好于对照组表现（P＜0.05）。结论腹壁横切口行第二次剖宫产较纵切口操作难度大，手术时间长、术中失血量多，患者承受的疼痛相对多，建议选择行腹壁纵切口进行剖宫产手术。“,”Objective To investigate the abdominal longitudinal incision andtransverse incision cesarean section of second times of the. Methods from July to2012 in 2010 July my courtyard department of gynaecology and obstetrics were 178 cases of second caesarean section were divided into observation group andcontrol group, abdominal transverse abdominal longitudinal incision in the mouth,compared 2 groups of fetal childbirth time, operation time, intraoperative bleedingvolume and peritoneal adhesion in different degree arithmetic. Results in the observation group, fetal childbirth time, operation time, intraoperative bleeding volume and other indicators were lower than the control group (P < 0.05), in thedegree of adhesion is obviously better than the control group (P < 0.05).Conclusion abdominal transverse incision in cesarean section with secondlongitudinal incision operation difficulty big, long operation time, intraoperativeblood loss volume, patient pain relative, recommended to choose the abdominal ongitudinal incision of cesarean section operation.