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目的 探讨反复剖宫产并发症预防与治疗问题。方法 随机抽取1 989年～ 1 993年及 1 994年～ 1 998年反复剖宫产术病例各 5 0 0份 ,对反复剖宫产术并发症进行分析。结果 大出血、子宫破裂、切口疝为反复剖宫产术的主要并发症 ,前 5年显著高于后 5年 (P <0 0 1 )。结论 严格掌握剖宫产指征 ,争取自然分娩 ;延长剖宫产术后与下次妊娠的间隔时间 ;选择好剖宫产子宫切口及提高手术基本操作技术 ,对减少反复剖宫产术并发症具有重要作用。
Objective To study the prevention and treatment of complications of repeated cesarean section. Methods Five hundred and fifty cases of repeated cesarean section were randomly selected from 1989 to 1993 and from1994 to 1998, and the complications of repeated cesarean section were analyzed. Results Bleeding, uterine rupture and incisional hernia were the main complication of repeated cesarean section, which was significantly higher in the first 5 years than in the latter 5 years (P <0.01). Conclusion Strict indications of cesarean section and strive for natural childbirth; extend the interval between the cesarean section and the next pregnancy; choose the cesarean section uterine incision and improve the basic operation techniques of surgery to reduce the recurrence of cesarean section complications Has an important role.