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目的观察改良新式剖宫产术后再次开腹手术的临床疗效。方法 86例剖宫产术后需再次开腹手术的患者,随机分为研究组和对照组,各43例。对照组予以再次新式剖宫产术进行治疗,研究组再次予以改良新式剖宫产术进行治疗,比较两组手术相关指标、术后并发症情况。结果研究组开腹时间为(8.6±2.3)min,开腹出血量为(35.9±4.9)ml;对照组开腹时间为(15.9±3.4)min,开腹出血量为(58.4±6.4)ml;研究组开腹时间、开腹出血量均优于对照组,差异有统计学意义(P<0.05)。研究组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论改良新式剖宫产术后再次开腹手术可显著缩短手术时间,减少术中出血量,降低术后并发症发生率,值得临床借鉴和采纳。
Objective To observe the clinical effect of modified open cesarean section after open surgery again. Methods A total of 86 patients undergoing open celiotomy after cesarean section were randomly divided into study group and control group, with 43 cases in each group. The control group was treated with new cesarean section again. The study group was again treated with new improved cesarean section. The operation-related indexes and postoperative complications were compared between the two groups. Results The open time of the study group was (8.6 ± 2.3) min and the open bleeding volume was (35.9 ± 4.9) ml. In the control group, the laparotomy time was (15.9 ± 3.4) min and the amount of open laparotomy was (58.4 ± 6.4) ml ; The study group laparotomy time, open blood loss were better than the control group, the difference was statistically significant (P <0.05). The incidence of postoperative complications in the study group was lower than that in the control group, the difference was statistically significant (P <0.05). Conclusion The improved open cesarean section after open surgery can significantly shorten the operation time, reduce the amount of intraoperative bleeding and reduce the incidence of postoperative complications, it is worth learning and adoption.