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随着围产医学的发展,剖宫产手术是解决难产及产科难题的主要手段,目前剖宫产率在全国各地都有显著的提高,回顾总结我院近4年时间剖宫产率从8%上升到19%左右,取得了明显地社会效益和经济效益,也最大限度的降低了医疗风险和医疗纠纷,但在农村边远地区和特殊情况下需再次妊娠分娩的孕产妇,在一定的程度上对健康有了一定的影响,特别是医生对前次剖宫产的适应征和手术方法的选择有密切关系。根据我们近4年来进行的126例2次剖宫产手术的患者的临床观察,剖宫产术后出现腹壁粘连盆腹腔粘连引起的大网膜综合征,肠梗阻,盆腔疼痛,继发不孕等并发症多见。我们应在保障母子安全的情况下致力于降低宫产率。作者对2005年～2008年我院49例采用新式剖宫产后2次剖宫产的患者临床资料分析,并且以改良式新式剖宫产进行2次手术的67例患者进行对比,结果改良新式剖宫产的手术后粘连明显小于新式剖宫产。结论新式剖宫产手术方式改良后效果显著。适用于临床广泛开展应用。
With the development of perinatal medicine, cesarean section operation is the main means to solve difficult problems of dystocia and obstetrics. At present, the rate of cesarean section has been significantly increased in all parts of the country. The review summarizes the rate of cesarean section in the past 4 years from 8 % To 19%, has achieved significant social and economic benefits, but also to minimize the medical risks and medical disputes, but in remote rural areas and special circumstances need to be pregnant and childbirth again pregnant women, to a certain extent On the health has a certain impact, in particular, the doctor on the last cesarean section indications and surgical methods are closely related to the choice. According to our nearly 4 years of 126 cases of 2 cesarean section in patients with clinical observation of abdominal adhesions after cesarean section abdominal adhesions caused by omentum syndrome, intestinal obstruction, pelvic pain, secondary infertility More complications and more. We should commit ourselves to reducing the rate of palace births while safeguarding the safety of both mother and child. The authors from 2005 to 2008 in our hospital 49 cases of new cesarean section after 2 cesarean section in patients with clinical data analysis and modified cesarean section in 2 cases of 67 patients were compared and the results improved new Postoperative cesarean section adhesions significantly less than the new cesarean section. Conclusion The effect of the new cesarean section method is significant. Suitable for clinical application.