期刊文献+

不同术式的剖宫产术对再次剖宫产产妇腹腔粘连、盆腔粘连及妊娠结局的影响 被引量:23

Effect of Different Surgical Caesarean Section on Parturients Undergoing Secondary Cesarean Section
原文传递
导出
摘要 目的:探讨不同术式的剖宫产术对再次剖宫产产妇腹腔粘连、盆腔粘连及妊娠结局的影响。方法:选取我院于2007年7月-2017年10月间收治的需再次行剖宫产产妇168例为研究对象。根据首次剖宫产术式分为对照组(新式腹壁横切式)92例和观察组(传统腹壁纵切式)76例。观察并比较两组产妇临床指标,盆腔粘连、腹腔粘连严重程度以及妊娠结局情况。结果:观察组产妇手术时间、胎儿娩出时间、术中出血量、住院时间、肛门排气时间均低于对照组,差异有统计学意义(P<0.05)。观察组产妇腹腔粘连发生率为46.05%(35/76),显著低于对照组的77.17%(71/92),差异有统计学意义(P<0.05)。观察组产妇盆腔粘连发生率为34.21%(26/76),低于对照组的54.35%(50/92),差异有统计学意义(P<0.05)。两组产妇产后出血、术后切口感染、新生儿窒息等发生率比较差异无统计学意义(P>0.05)。结论:首次剖宫产术式的选择对再次剖宫产产妇具有较大影响,传统腹壁纵切式可显著改善产妇临床指标情况,减少盆腔粘连、腹腔粘连发生的概率,且术后并发症较少,值得临床推广应用。 Objective: To investigate the effect of different surgical caesarean section on abdominal adhesion,pelvic adhesion and pregnancy outcome in parturients undergoing secondary cesarean section. Methods: A total of 168 eases of secondary cesarean section, who were admitted to Affiliated Hospital of Zunyi Medical College fxom July 2007 to October 2017, were selected and were divided into control group (new type transverse abdominal wall, 92 cases) and observation group (traditional abdominal longitudinal type, 76 cases) according to the first cesarean section. The clinical indexes,abdominal adhesion, pelvic adhesion and pregnancy outcome were compared between the two groups of parturients. Results: The operation time,delivery time, amount of bleeding, hospitalization time, anal exhaust time in the observation group were lower than those in the control group (P〈0.05). The incidence of abdominal adhesion[46.05% (35/76)] in the observation group was significantly lower than that[77.17% (71/92)] in the control group, the difference was statistically significant (P〈0.05). The incidence of pelvic adhesions[34.21% (26/76)] in the observation group was significantly lower than that[54.35% (50/92)] in the control group, the difference was statistically significant (P〈0.05). There were no significant differences in the incidence of post- partum hemorrhage, postoperative incision infection and neonatal asphyxia between the two groups (P〉0.05). Conclusion: The choice of the first cesarean section has a great influence on the second cesarean section; the traditional abdominal longitudinal type can significantly improve maternal clinical indicators, reduce abdominal adhesion rate, with less complication, it is worthy of clinical application.
作者 罗琳 胡琼 王玲璐 陈蕾 曹琦 LUO Lin;HU Qiong;WANG Ling-lu;CHEN Lei;CAO Qi(Department of Obstetrics, Affiliated Hospital of Zunyi Medical College, Zunyi, Guizhou, 563000, Chin)
出处 《现代生物医学进展》 CAS 2018年第7期1348-1351,1321,共5页 Progress in Modern Biomedicine
关键词 新式腹壁横切式 传统腹壁纵切式 再次剖宫产术 腹腔粘连 盆腔粘连 妊娠结局 New type transverse abdominal wall Traditional abdominal longitudinal type Secondary cesarean section Abdominal adhesion Pelvic adhesion Pregnancy outcome
  • 相关文献

参考文献8

二级参考文献65

  • 1郝长宏,郭兆香,赵春荣,刘耀玲,刘正玲,李守村.不同剖宫产术式盆腹腔及腹壁粘连情况的对比分析[J].中华妇产科杂志,2005,40(11):775-776. 被引量:64
  • 2付燕燕,梁新芳,张永红.新式剖宫产对再次妊娠及再次剖宫产的影响[J].中国妇幼保健,2006,21(17):2361-2362. 被引量:16
  • 3郑卫红,夏影丽,武卉,鲁桦.新式剖宫产术与腹部纵切口子宫下段剖宫产术后腹腔粘连情况比较[J].中国妇幼保健,2007,22(10):1379-1381. 被引量:10
  • 4Baskett TF,Calder AA,Arulkumaran S.产科手术学[M].11版.北京:人民卫生出版社,2010:25-26.86.
  • 5Lumbiganon P, Laopaiboon M, Gulmezoglu AM, et al. Method of delivery and pregnancy outcomes in Asia:the WHO global survey on maternal and perinatal health 2007-08 [J]. Lancet, 2010,375 (9713) :490-499.
  • 6Blanehette H. The rising cesarean delivery rate in America: what are the consequences [J]. Obstet Gynecol, 2011,118 ( 3 ) : 687- 690.
  • 7Salihu HM, Bowen CM,Wilson RE, et al. The impact of previous cesarean section on the success of future fetal programming pattern [ J ]. Arch Gynecol Obstet,2011,284 ( 2 ) :319-326.
  • 8A1-Jabri S, Tulandi T. Management and prevention of pelvic adhesions [ J ]. Semin Reprod Med,2011,29 (2) : 130-137.
  • 9Hussein J, Mavalankar DV, Sharma S, et al. A review of health system infection control measures in developing countries :what can be learned to reduce maternal mortality [ J]. Global Health,2011, 19(7) :14.
  • 10Varner M. Cesarean scar imaging and prediction of subsequent obstetric complications [J]. Clin Obstet Gynecol, 2012,55 (4): 988-996.

共引文献121

同被引文献186

引证文献23

二级引证文献30

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部