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目的探讨剖宫产手术方式对二次妇产科手术的影响。方法 120例二次妇产科手术患者,随机分为研究组与对照组,各60例。研究组采用新式剖宫产,对照组采用传统剖宫产,对比观察两组患者的手术相关情况。结果研究组患者的术中出血量及手术时间指标均高于对照组,差异有统计学意义(P<0.05);研究组患者发生腹腔粘连例数多于对照组,差异有统计学意义(P<0.05);研究组与对照组患者的术后恢复肛门排气时间分别为(24.7±3.5)h、(24.5±3.8)h,差异无统计学意义(P>0.05);研究组与对照组患者的术后切口甲级愈合例数分别为58例(96.67%)、57例(95.00%),差异无统计学意义(P>0.05)。结论相对于传统的剖宫产,新式剖宫产术后患者因为腹腔粘连较严重,易导致二次妇产科手术手术时间长、出血量大。为提升二次妇产科手术效果,应谨慎首次剖宫产术式的选择与操作,减少粘连发生。
Objective To investigate the effect of cesarean section on secondary obstetrics and gynecology surgery. Methods A total of 120 cases of obstetrics and gynecology surgery were randomly divided into study group and control group, with 60 cases in each. The study group adopted the new cesarean section, while the control group adopted the traditional cesarean section. The operative conditions of the two groups were compared. Results The intraoperative blood loss and operation time of the study group were significantly higher than those of the control group (P <0.05). There were more cases of abdominal adhesions in the study group than in the control group (P <0.05). There was no significant difference between the study group and the control group in the time of postoperative anal exhaust (24.7 ± 3.5) h and (24.5 ± 3.8) h respectively (P> 0.05) There were 58 cases (96.67%) and 57 cases (95.00%) of postoperative wound healing, respectively, with no significant difference (P> 0.05). Conclusion Compared with the traditional cesarean section, patients with new cesarean section are more likely to have abdominal adhesions, which leads to the long time of secondary gynecological surgery and the large amount of bleeding. To enhance the effect of the second gynecological surgery, cesarean section should be cautious choice and operation, to reduce the occurrence of adhesions.