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目的:研究剖宫产子宫肌层单层连续缝合的效果及安全性。方法:米用临床对照试验,将2516例剖宫产按子宫下段切口缝合方法不同分为两组。实验组:子宫肌层单层连续缝合1811例。对照组:采用传统两层缝合法705例.结果:试验组平均手术时间38min而对照组为50min(P<0.05)。试验组与对照组术后病率分别是8.6%、20%(P<0.05)。术后住院天数、子宫内膜炎发生率,两组无显著差异。无1例晚期子宫出血。结论:剖宫产子宫肌层单层连续缝合安全、效果好。
Objective: To study the effect and safety of continuous suture of myometrium in cesarean section. Methods: With clinical control trials, 2516 cases of cesarean section under the uterine incision suture method is divided into two groups. Experimental group: 1811 cases of continuous myometrial suture. Control group: 705 cases of traditional two-layer suture method. Results: The mean operative time in the experimental group was 38 minutes and in the control group was 50 minutes (P <0.05). The postoperative rates of the experimental group and the control group were 8.6% and 20%, respectively (P <0.05). Postoperative hospital days, the incidence of endometritis, no significant difference between the two groups. No case of advanced uterine bleeding. Conclusion: Cesarean section single myometrial suture continuous safety, effective.