摘要
目的研究再次剖宫产术盆腹腔重度粘连的策略。方法该次研究于医院内部方便选取2017年1—12月收治的52例重度粘连剖宫产术患者,以及2018年1—12月收治的50例住院剖宫产分娩的疤痕子宫严重粘连孕妇作为研究对象,医院于2018年1月开始实施严格评估管理措施,对比两组患者的手术时间、术中出血量、出胎时间、术后排气时间,以及发生腹壁粘连和盆腔粘连的比例。结果研究组的手术时间、术中出血量、出胎时间以及术后排气时间分别是(58.46±8.26)min、(184.46±26.45)mL、(10.85±2.85)min、(25.95±9.64)h,均显著小于对照组的(92.46±10.85)min、(345.85±32.96)mL、(18.95±3.12)min、(38.98±7.56)h,差异有统计学意义(t=10.568、12.648、8.526、9.864,P<0.05);研究组的腹壁切口粘连发生率和盆腔粘连发生率分别为44.00%和32.00%,显著小于对照组的76.92%和55.77%(χ^2=11.591,5.841,P<0.05);两组的术后感染、产后出血和新生儿窒息发生情况差异无统计学意义(P>0.05)。结论实施评估优化策略有助于再次剖宫产术盆腹腔重度粘连的治疗。
Objective To study the strategy of cesarean section for severe adhesion in cesarean section. Methods In this study, 52 patients with severe adhesion cesarean section who were admitted from January to December 2017 and 50 patients who underwent cesarean delivery from January to December 2018 were convenient selected with severe abdominal adhesion after cesarean section. The hospital began to implement strict evaluation management measures in January 2018. The operation time, intraoperative blood loss, time of birth, postoperative venting time, and abdominal wall adhesion and pelvic cavity, proportion of adhesions were compared between the two groups. Results The operation time, intraoperative blood loss, fetus time and postoperative exhaust time of the study group were (58.46±8.26) min,(184.46±26.45) mL,(10.85±2.85) min,(25.95±9.64) h, respectively, were significantly lower than the control group of (92.46±10.85) min,(345.85±32.96) mL,(18.95±3.12) min,(38.98±7.56) h (t=10.568, 12.648, 8.526, 9.864, P<0.05). The incidence of incisional adhesions and pelvic adhesions in the study group were 44.00% and 32.00%, respectively, which were significantly lower than 76.92% and 55.77% in the control group (χ^2=11.591,5.841, P<0.05). There was no significant difference in the incidence of infection, postpartum hemorrhage and neonatal asphyxia (P>0.05). Conclusion The implementation of an evaluation optimization strategy is helpful in the treatment of severe cesarean abdominal adhesions during cesarean section.
作者
龚星星
GONG Xing-xing(Department of Obstetrics and Gynecology,Tanbei Hospital,Zhongshan,Guangdong Province,528412 China)
出处
《中外医疗》
2019年第11期96-98,共3页
China & Foreign Medical Treatment
基金
中山市卫生和计划生育局项目:再次剖宫产术盆腹腔重度粘连的应对策略(2018J331)
关键词
剖宫产手术
盆腹腔粘连
重度粘连
防控措施
Cesarean section surgery
Pelvic and abdominal adhesions
Severe adhesions
Prevention and control measures
