摘要
目的分析初次不同剖宫产手术方式对再次剖宫产的影响。方法收集90例再次剖宫产的孕产妇,按初次剖宫产术式的不同分为A、B、C3组各30例,对比3组产妇初次剖宫产的腹壁切口愈合情况、再次剖宫产术中盆、腹腔粘连情况。结果初次剖宫产腹壁愈合情况C组最差,其余2组无差异;再次剖宫产术盆腹腔粘连情况以A组最差,其余2组差异无显著性;再次剖宫产开腹、取胎、手术耗时以C组最短,对比B组差异无显著性,对比A组差异显著。结论初次剖宫产术式为改良式新式剖宫产,改良式下腹纵切口剖宫产术式对二次剖宫产术的影响比新式剖宫产的影响小,手术风险较低,故初次剖宫产术式选择应慎重考虑,以降低二次剖宫产的危险性。
Objective To analyze the influence of different primary cesarean section to re-cesarean section.Methods Collected 90 cases of re-cesarean section,divided into 3 groups of 30 cases by different primary cesarean section way,compared three groups’ abdominal incision healing of primary cesarean section,re-pot cesarean section,abdominal adhesions.Results Primary cesarean’s bdominal incision healing of Group C was the worst,other two groups had no difference; re-cesarean section’s abdominal adhesions of group A was the worst,other two groups was no significant difference;re-cesarean section’s laparotomy、fetus、surgery time was the shortest,contrast group B was no significant difference,contrast group A was significant difference.Conclusion Primary cesarean section was new improved cesarean section,the impact of improved surgical abdominal longitudinal incision cesarean section was smaller than re-cesarean section,surgery risk low,so it should be carefully considered to choose the primary cesarean section way,to reduce the risk of re-cesarean section.
出处
《中外医疗》
2011年第35期13-14,共2页
China & Foreign Medical Treatment
关键词
剖宫产术式
再次剖宫产
影响
Cesarean section
Re-cesarean section
Influence
