横切口剖宫产腹直肌肌腱离断术作用探讨（附45例报告）

STUDY ON RECTUS MYOTENOTOMY BY TRANSVERSE INCISION IN CESAREAN SECTION

本文报道采用横切口腹直肌肌腱离断术４５例（实验组），与常规横切口腹直肌钝性分离术６６例（对照组）相比，两组切开皮肤到进入腹腔时间、切开皮肤到胎儿娩出时间、总手术时间、术中出血量和术后并发症均无差异（Ｐ＞０．０５）；而切开子宫壁到胎儿完全娩出时间，实验组明显低于对照组（Ｐ＜０．０５）。作者认为横切口腹直肌肌腱离断术除具有常规术式的优点外，对降低新生儿窒息有更重要意义，值得临床推广。

cases by transverse myotenotomy of straight muscle of abdomen incesarean section (experimental group),which was compared to 66 cases by rectus bluntexclusion(control group),were reported.There was no difference betweent the two groupsin amount of bleeding,incidence of postoperative complications,time from skin cutting toentering abdominal cavity and from skin cutting to fetal expultion as well as total operativetime(P>0.05 ).But,it spended less time from opening the uterine to infant delivery inexperimental group than that in control group(P<0.05).The auther think that transversemyotenotomy of straight muscle of andomen in cesarean section not only has the advantagewith blunt exclusion but also has a more important role in reducing the incidence of newbornasphyxia. It is worthy to extend the clinical application.