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新式剖宫产术 74例采用横行直切口开腹方法 ,横向潜行裁剪腹直肌前鞘。钝性分离脂肪层、腹直肌及腹膜 ,在膀胱子宫反折腹膜皱襞顶端切开子宫。可吸收合成肠线单层连续扣锁缝合子宫肌层 ,不缝合脏层及壁层腹膜 ,肠线连续缝合筋膜 ,间断全层缝合皮肤及皮下脂肪 3针。并与同期传统子宫下段剖宫产术相比较分析。结果 :新式剖宫产与对照组比较 ,具有手术时间短 ,术中出血量少 ,损伤小 ,术后疼痛轻 ,排气时间短 ,恢复快 ,住院时间短等优点。结论 :新式剖宫产与传统子宫下段剖宫产相比较 ,有明显优点 ,值得临床推广应用。
74 cases of new cesarean section with transverse straight incision laparotomy, transverse sneak cutting anterior rectus sheath. Blunt separation of the fat layer, rectus abdominis and peritoneum, the uterus in the bladder uterine fold peritoneal fold the top of the uterus. Absorbable synthetic catgut monolayer continuous buckling suture myometrium, do not stitches the visceral and parietal peritoneum, gut continuous suture fascia, intermittent full-thickness suture the skin and subcutaneous fat 3-pin. And compared with the same period of traditional uterine cesarean section analysis. Results: Compared with the control group, the new cesarean section had the advantages of shorter operation time, less intraoperative blood loss, less injury, less postoperative pain, shorter exhaust time, faster recovery and shorter hospital stay. Conclusion: Compared with traditional cesarean section, the new cesarean section has obvious advantages and worthy of clinical application.