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目的探讨首次剖宫产术式对孕妇再次行剖宫产分娩的术中情况与粘连情况,为剖宫产术式选择提供临床参考。方法选取2006年1月至2007年12月在我院住院分娩的孕妇320例,所有产妇均为首次剖宫产术后且本次分娩方式为再次剖宫产,以初次剖宫产术式不同将产妇分为3组,对比3组患者再次剖宫产的情况。结果腹直肌粘连、腹膜粘连情况,B组与C组相比A组明显较高(P<0.05),C组与B组相比明显较高(P<0.05);大网膜粘连、膀胱腹膜反折粘连情况,A组相比B组、C组明显较高(P<0.05),B组与C组相比差异无统计学意义(P>0.05)。结论子宫下端横切口剖宫产在各个方面较为均衡,盆腹腔粘连的发生率也相对较低,是剖宫产术式的首选。
Objective To investigate the intraoperative status and adhesions of the first cesarean section in re-delivery of cesarean section for pregnant women and to provide cinical reference for cesarean section selection. Methods A total of 320 pregnant women were hospitalized in our hospital from January 2006 to December 2007. All the mothers were cesarean section after the first cesarean section and this mode of delivery was cesarean section again. The first cesarean section was different The mothers were divided into 3 groups, compared with 3 cases of cesarean section again. Results The rectus abdominis adhesions and peritoneal adhesions in group B were significantly higher than those in group C (P <0.05), while those in group C were significantly higher than those in group B (P <0.05) Compared with group B, group C was significantly higher (P <0.05), but there was no significant difference between group B and group C (P> 0.05). Conclusion The uterine incision at the lower end of transverse cesarean section in all aspects of a more balanced, the incidence of pelvic abdominal adhesions is relatively low, is the first choice for cesarean section.