侧顶式改良腹膜外剖宫产术120例分析

Analysis of 120 cases of extraperitoneal cesarean section with improved lateral-top type

目的 探讨腹膜外剖宫产最佳术式。方式 采用t检验和x^2检验,对侧顶式、顶入式和侧入式腹膜外刮宫产的临床资料进行分析。结果 侧顶式腹膜外剖宫产与顶入式和侧入式术式相比,可缩短总手术时间(P<0.001,P<0.005);亦可缩短自切皮到胎儿娩出时间(P<0.001,P<0.005),且腹膜破裂发生率低(P<0.05)。结论 侧顶式改良腹膜外刮宫产术,标志清楚,易掌握,损伤少,适应征广泛,可推广应用于临床。

Objective To explore the operative method of extraperitoneal cesarean section. Methods Clinical data of Latzko's, Water's and lateral-top cesarean section were analyzed statistically. Results Lateral -top's cesarean section was compared with Latzko's and Water's and showed that it had some advantage of shortening the total operative time(P<0. 001 ,P<0. 005) and the time between skin incision and fatal delivery(P<0. 001,P<0. 005). The rate of peritoneal rupture was lower (P<0. 05). Conclusion Improved lateral-top type extraperitoneal cesarean section has the advantages of clear marker, easy to master, little damage and intensive indications and can be popularized clinically.