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目的 :探讨新式剖宫产 Joel- Cohen切口的临床价值。方法 :于下腹部双侧髂前上棘连线下大约 3cm处做横行直切口 ,钝性分离脂肪层及腹直肌 ,横向撕开腹膜 ,剖宫取胎 ,关腹时不缝合腹膜 ,用合成线连续缝合筋膜及间断全层缝合皮肤及皮下脂肪。并与同期子宫下段剖宫产术的中线垂直切口、横孤形切口比较。结果 :采用 Joel- Cohen切口的新式剖宫产手术时间短 ,术中出血量少 ,术后疼痛轻、病率低、愈合好 ,与两个对照组比较均有显著性差异 (P<0 .0 5)。结论 :新式剖宫产的 Joel- Cohen切口损伤小 ,出血少 ,术后恢复快 ,方法简单、易学 ,有重要的临床价值
Objective: To explore the clinical value of the new caesarean section Joel-Cohen incision. Methods: In the lower abdomen bilateral anterior superior iliac spine anastomosis about 3cm straight transverse incision, blunt dissection of the fat layer and rectus abdominis, lateral tear the peritoneum, cesarean section fetus, closing the abdomen without peritoneal closure, with Synthetic line continuous suture fascia and intermittent full-thickness sutured skin and subcutaneous fat. And with the same period of the lower uterine segment of the midline cesarean section vertical incision, lateral solitary incision comparison. Results: The new cesarean section with Joel-Cohen incision had shorter operative time, less intraoperative blood loss, less postoperative pain, lower morbidity and better healing, compared with the two control groups (P <0. 0 5). Conclusion: The new cesarean section Joel-Cohen incision less injury, less bleeding, quick recovery, the method is simple, easy to learn, there is an important clinical value