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目的了解再次剖宫产术中的出血、粘连及腹壁切口愈合情况。探讨减少术中出血、粘连及捉高腹部切口愈合率的措施。方法:对118例再次剖宫产(RS组)和1562例首次剖宫产(CS组)病例进行分析。结果:再次剖宫产组术中出血平均量和产后出血发生率、术中脏器粘连及切口愈合情况较首次剖宫产组均有显著差异。结论:严格掌握剖宫产术指征,降低剖宫产率是减少剖宫产术并发症的基础;而提高剖宫产手术技巧,术中合理操作,提高腹壁缝合技巧以及术后严密支持治疗是减少剖宫产术后并发症的关键。
Objective To understand the second cesarean section bleeding, adhesions and abdominal incision healing. To explore ways to reduce intraoperative bleeding, adhesions and catch rate of incision in the abdomen. Methods: 118 cases of second cesarean section (RS group) and 1562 cases of first cesarean section (CS group) were analyzed. Results: The mean intraoperative bleeding and the incidence of postpartum hemorrhage in the cesarean section group were significantly different from those in the first cesarean section group. Conclusions: Strict cesarean section indications and reduce the rate of cesarean section is to reduce the complications of cesarean section; and improve caesarean section surgical techniques, intraoperative and rational operation, improve the abdominal wall suture techniques and strict supportive treatment Is to reduce the complications of cesarean section after the key.