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目的:探讨瘢痕子宫行再次剖宫产时切口的选择与术中出血的关系。方法:对再次剖宫产的372例患者进行回顾性分析。根据术式的不同分成两组。120例采用子宫下段原瘢痕处进入宫腔为A组,252例采用高于瘢痕处进入宫腔为B组。对术中出血进行比较分析。结果:A组和B组术中出血进行比较(P<0.05),差异有统计学意义。结论:再次剖宫产子宫切口的选择一般应选择高于原切口瘢痕处进入宫腔可减少术中出血。
Objective: To investigate the relationship between the choice of incision in cesarean section and intraoperative bleeding in scar-shaped uterus. Methods: A retrospective analysis of 372 cases of cesarean section. Divided into two groups according to different surgical procedures. In 120 cases, the uterine scar was used to enter the uterine cavity for group A, and 252 cases were used to enter the uterine cavity for scarification. Comparative analysis of intraoperative bleeding. Results: The bleeding in group A and group B were compared (P <0.05), the difference was statistically significant. Conclusion: Again cesarean section uterine incision selection should generally be higher than the original incision scar into the uterine cavity to reduce intraoperative bleeding.