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目的:探讨不同剖宫产缝合方式对子宫切口瘢痕憩室形成的影响。方法:选取2014年8月至2015年7月东莞市第五人民医院及厚街医院接收行剖宫产分娩的产妇300例,根据其剖宫产缝合方式分为A组、B组,A组产妇行除子宫内膜外全层缝合法,B组产妇行包括子宫内膜全层缝合法。记录A、B组产妇手术时间、术中出血量、术后肛门排气时间、术后血性恶露持续时间及住院时间。并观察两组产妇术后1年子宫切口愈合情况,对比两组产妇子宫切口瘢痕憩室情况。结果:两组患者术中出血量、手术时间、住院时间、排气时间差异均无统计学意义(P>0.05)。B组术后恶露持续时间明显少于A组,差异有统计学意义(P<0.05);两组产妇术后憩室形成率、憩室肌层厚度、憩室大小比较差异有统计学意义(P<0.05)。结论:子宫内膜全层缝合法在剖宫产术中应用可降低子宫切口瘢痕憩室形成率,促进术后切口愈合,效果显著。
Objective: To investigate the effect of different cesarean section suture methods on the formation of scar diverticulum in uterine incision. Methods: From August 2014 to July 2015, 300 cases of cesarean delivery in Dongguan No.5 People’s Hospital and Houjie Hospital were divided into group A, group B, group A according to cesarean section suture method Maternal line in addition to full-thickness endometrial suture, B group maternal line including full-thickness endometrial suture. A, B group maternal operation time, intraoperative blood loss, postoperative anal exhaust time, postoperative bloody lochia duration and hospital stay. The healing status of uterine incision at 1 year after operation was observed, and the scar diverticulum was compared between the two groups. Results: The blood loss, operation time, hospitalization time and exhaust time of two groups had no significant difference (P> 0.05). The duration of lochia after operation in group B was significantly less than that in group A (P <0.05). There was significant difference in the rate of diverticulum, the thickness of diverticula, the size of diverticulum between the two groups (P <0.05) ). Conclusion: The application of full-thickness endometrial suture in cesarean section can reduce the incidence of scarring diverticulum in uterine incision and promote the incision healed after operation.