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1991年1月~1993年12月我院分娩胎儿数为6123例,其中行剖宫产术者885例,剖宫产率14.45%,其中腹膜外组540例,腹膜外剖宫产率61.02%(540/885),结果表明,腹膜外剖宫产适应征范围有所扩大,和子宫下段剖宫产345例指征比较,前5位头盆不称,宫内窘迫、臀位、过期妊娠、妊娠高血压综合征基本相同,同时表明腹膜外组受术者侵袭少、出血少、术后恢复快,尤其对有感染或可疑感染病例更为适用,但腹膜外剖宫产仍不能完全取代子宫下段剖宫产,如前置胎盘,第2次剖宫产,需剖腹检查者.
From January 1991 to December 1993, the number of fetuses delivered in our hospital was 6123, of which 885 were cesarean, cesarean section rate was 14.45%, of which 540 cases were extraperitoneal group, extraperitoneal cesarean section rate 61.02% (540/885). The results showed that the range of indications of extraperitoneal cesarean section has been expanded, compared with 345 indications of cesarean section in the lower uterine segment. Bit, outdated pregnancy, pregnancy-induced hypertension syndrome is basically the same, at the same time that extraperitoneal surgery less invasion, less bleeding, rapid recovery after surgery, especially for infected or suspected cases of infection is more applicable, but extraperitoneal cesarean section Still can not completely replace the lower uterine segment of cesarean section, such as placenta previa, the second cesarean section, cesarean examination required.