摘要
目的分析研究瘢痕子宫剖宫产中高位子宫下段横切口的临床作用。方法利用随机数字表法,将入院的产妇分为两组,不包括术前已诊断为凶险性前置胎盘者,观察组173例,使用高位子宫下段横切口的手术方案;对照组405例,采用常规的瘢痕子宫剖宫产手术。对比记录手术中的出血量、术后排气时间、并发症概率及切口愈合概率。结果在接受治疗后,观察组患者的出血量显著低于对照组(P<0.05);观察组患者的术后排气时间显著低于对照组(P<0.05);观察组患者的并发症概率低于对照组(P>0.05);观察组患者的子宫切口愈合概率显著低于对照组(P<0.05)。结论使用高位子宫下段横切口的方法可以有效减少切口延伸裂伤及周围器官损伤,有效促进子宫切口的愈合,而且术后排气快、并发症较低,具有较显著的临床作用。
Objective To analyze the clinical effect of transverse incision in the middle and high uterine segment of cesarean scar. Methods Randomized digital table method was used to divide the admitted women into two groups, excluding the preoperative placenta previa The observation group of 173 cases, the use of high uterine segment transverse incision surgery program; control group of 405 cases, the use of conventional cesarean scar surgery. The amount of bleeding, the time of postoperative exhaust, the probability of complications and the rate of incision healing were recorded. Results The amount of bleeding in the observation group was significantly lower than that in the control group after treatment（P〈0.05） The postoperative exhaust time was significantly lower than that of the control group（P〈0.05）. The probability of complication in the observation group was lower than that in the control group（P〈0.05）. The healing rate of the uterine incision in the observation group was significantly lower than that in the control group（P〈0.05）. Conclusion The method of using the high transverse incision of the lower uterine segment can effectively reduce the extension laceration of the incision and the surrounding organ injury, effectively promote the healing of the uterine incision, and has the advantages of rapid postoperative exhaust and low complication, and has a significant clinical effect.
作者
任宏珍
REN Hong-zhen(The Maternity and Child Health Care Hospital of Yanggu County, Yanggu, Shandong, 25230)
出处
《智慧健康》
2018年第4期70-72,共3页
Smart Healthcare
关键词
瘢痕子宫
再次剖宫产
高位子宫下段横切口
切口愈合
并发症
Scar uterus
Cesarean section
High uterine transverse incision
Inc.ision healing
Complications
