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目的 :通过比较新式剖宫产术与传统腹壁横切口子宫下段剖宫产术 ,评价新式剖宫产术的临床意义。方法 :取 2 0 0 2年 8～ 2 0 0 3年 8月我院采用新式剖宫产术的 12 0例产妇作为观察组 ,随机抽取同期实行下腹横切口子宫下段剖宫产术的 96例产妇为对照组 ,进行多项指标的对比。结果 :观察组和对照组手术时间分别为 ( 2 4 82± 4.5 1)min、( 4 9.65± 12 .10 )min ,术中出血量分别为( 160 .3 5± 46.2 3 )ml、( 2 72 .5 3± 5 1.72 )ml,术后肠蠕动恢复时间分别为 ( 17.93± 8.3 )h、( 4 3 .8± 8.8)h ,术后疼痛时间分别为 ( 9± 11)h、( 2 4± 12 )h。两组比较 ,经统计学处理有极显著性差异 (P <0 .0 1)。结论 :研究表明 ,新式剖宫产术具有手术时间短、损伤小、术中出血少、术后疼痛轻、恢复快、术后病率低、缩短拆线时间等优点 ,值得临床推广应用。
Objective: To evaluate the clinical significance of new cesarean section by comparing the new cesarean section with traditional cesarean section. Methods: A total of 120 maternal women who underwent new cesarean section in our hospital from August 2002 to August 2003 were selected as the observation group. 96 cases of caesarean section under the lower abdominal transverse incision Maternal control group, a number of indicators of contrast. Results: The operative time in the observation group and the control group were (2482 ± 4.51) min and (4.96 ± 12.10) min, respectively. The blood loss in the observation group and the control group were (160.35 ± 46.23) ml and 72.53 ± 5 1.72) ml, the recovery time of postoperative intestinal peristalsis were (17.93 ± 8.3) h and (43.8 ± 8.8) h respectively, and the postoperative pain time was (9 ± 11) h and 4 ± 12) h. There was a significant difference between the two groups (P <0.01) by statistical analysis. Conclusion: The study shows that the new cesarean section has the advantages of shorter operation time, less injury, less intraoperative bleeding, less postoperative pain, faster recovery, lower postoperative morbidity and shorter stitching time, which is worthy of clinical application.