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目的:探讨瘢痕子宫再次剖宫产手术时切口位置的选择。方法:本次研究对象来源于我院收治的瘢痕子宫再次剖宫产患者70例,依据切口位置选择分组,其中对照组(n=35)作切口于瘢痕组织下方,观察组(n=35)作切口于瘢痕组织上方,比较两组手术效果。结果:两组手术时间对比P>0.05,观察组术中出血量明显少于对照组(P<0.05);对照组术后出血率为20.0%,明显高于观察组的5.7%(P<0.05)。结论:瘢痕子宫再次剖宫产患者可考虑作切口于瘢痕组织上方,减少术中出血量与术后出血率,值得推广。
Objective: To investigate the choice of incision location in cesarean scar surgery again. Methods: According to the location of the incision, 70 cases were treated with cesarean section again in our hospital, and the control group (n = 35) under the scar tissue. The observation group (n = 35) For the incision in the scar tissue, the two groups were compared. Results: The operative time of the two groups was significantly higher than that of the control group (P <0.05). The bleeding volume in the observation group was significantly less than that in the control group (P <0.05). The postoperative bleeding rate in the control group was 20.0% ). Conclusion: Patients with scar uterine cesarean section again can be considered for incision in the scar tissue above, to reduce intraoperative bleeding and postoperative bleeding rate, it is worth promoting.