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目的研究瘢痕子宫再次剖宫产患者的切口位置选择手术观察。方法 40例瘢痕子宫再次进行剖宫产患者,随机分成对照组与实验组,各20例。对照组患者手术进行的位置为瘢痕下组织2 cm进行切口,而实验组患者在瘢痕上组织2 cm实施切口,对比两组患者的出血情况、产后出血率以及手术时间。结果实验组手术时间及出血量为(38.21±9.87)min、(211.38±109.25)ml,对照组手术时间及出血量为(45.26±15.63)min、(327.66±156.32)ml,实验组手术时间以及出血量均低于对照组,差异均具有统计学意义(P<0.05);实验组患者产后出血1例,占5%,对照组出血6例,占30%,比较差异具有统计学意义(P<0.05)。结论瘢痕子宫再次剖宫产患者的切口位置选择在瘢痕组织上2 cm具有更高的成功率,同时能够减少并发症以及感染的发生,值得在临床上推广。
Objective To study the location of surgical incision in cesarean section patients with scar-shaped uterus. Methods 40 cases of scar uterus were again cesarean section patients were randomly divided into control group and experimental group, 20 cases each. Patients in the control group underwent surgical incision 2 cm below the scar tissue while patients in the experimental group were incised 2 cm above the scar. The bleeding, the rate of postpartum hemorrhage and the operation time were compared between the two groups. Results The operation time and bleeding volume in the experimental group were (38.21 ± 9.87) min and (211.38 ± 109.25) ml, respectively. The operation time and blood loss in the control group were (45.26 ± 15.63) min and (327.66 ± 156.32) (P <0.05). In the experimental group, 1 patient had postpartum hemorrhage (5%) and 6 patients (30%) had bleeding in the control group (P> 0.05), and the difference was statistically significant (P <0.05). Conclusion The location of incision for scarring uterine re-cesarean delivery in 2 cm of scar tissue has a higher success rate, and can reduce complications and infections, which is worth popularizing clinically.