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目的:探讨首次剖产时,两种腹切口对二次剖宫产手术的影响。方法:将60例数次剖宫产采用腹壁横切口的产妇,和60例首次剖宫产采用纵切口的产妇,按切口方式分为横切口组与纵切口组,对其再次实施剖宫产手术的情况进行分析,对剖腹时间、腹壁粘连、切口愈合及新生儿Apgar评分进行比较。结果:两组病例再次进行剖宫产时,纵切口组在开腹时间上明显低于横切口组,新生儿Apgar评分高于横切口组,差异具有显著性。比较术中出血、切口愈合情况,差异无显著性。结论:对于有再次剖宫产可能的女性,在初次剖宫产时,应尽量采用纵切口剖宫手术。
Objective: To investigate the effect of two kinds of abdominal incision on the second cesarean section at the first time of operation. Methods: 60 cases of cesarean section with abdominal transverse incision of the maternal, and 60 cases of cesarean section with longitudinal incision maternal, according to the incision into transverse incision group and longitudinal incision group, once again implemented cesarean section Surgical conditions were analyzed and cesarean section, abdominal adhesions, incision healing, and neonatal Apgar scores were compared. Results: When cesarean section was performed again in both groups, the Apgar score in the longitudinal incision group was significantly lower than that in the transverse incision group, and the neonatal Apgar score was higher than that in the transverse incision group. The difference was significant. Comparison of intraoperative bleeding, wound healing, the difference was not significant. CONCLUSIONS: For women who have the potential for another cesarean section, longitudinal cesarean section should be used when initial cesarean section.