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目的:讨论前次剖宫产腹壁手术切口方式对再次剖宫产手术的影响分析。方法:选取我院实行二次剖宫产的产妇92例,根据首次剖宫产的手术切口的不同分为实行腹壁纵切口的实验组和实行腹壁横切口的对照组。结果:实验组的在手术的总时间,开腹时间小于对照组,差别具有统计学意义(P<0.05)。实验组的盆腹腔的黏连的情况小于对照组,差别具有统计学意义(P<0.05)。结论:在产妇首次使用剖宫产时使用腹壁横切口,在手术后缝合使用时间短,缝合简单,在手术后的恢复时间短,并且手术的切口的瘢痕比较美观。但是在第二次实行剖宫产时会出现手术的时间长,进腹比较困难,出现腹部黏连的情况较多。因此,在实行剖宫产手术时应当根据具体的情况实行手术的方式。
Objective: To discuss the effect of previous cesarean section incision on cesarean section. Methods: 92 cases of second cesarean section in our hospital were selected and divided into experimental group with abdominal longitudinal incision and control group with transverse incision according to the difference of the first cesarean section. Results: The total time of operation, the time of laparotomy in the experimental group was less than that of the control group, the difference was statistically significant (P <0.05). The experimental group of pelvic adhesions less than the control group, the difference was statistically significant (P <0.05). Conclusions: The use of abdominal transverse incision in the first cesarean section for maternal use has the advantages of short time after suture operation, simple suture, short recovery time after operation, and more beautiful scar in surgical incision. However, in the second implementation of cesarean section surgery will occur for a long time, into the belly more difficult, there are more cases of abdominal adhesions. Therefore, the implementation of cesarean section should be based on the specific circumstances of the surgical approach.