胎膜早破2种剖宫产术式比较

Operative method of cesarean section about premature rupture of membrane

目的比较胎膜早破剖宫产不同术式的优缺点。方法回顾分析41例胎膜早破腹膜外剖宫产术和50例腹膜内剖宫产术的手术效果、新生儿评分及手术不良损伤情况。结果2种术式术后恢复排气时间比较,差异有统计学意义(P<0.001);手术时间、胎儿娩出时间及新生儿Apgar评分比较,差异无统计学意义(P>0.05)。结论腹膜外剖宫产术可减少对腹腔内脏器的干扰,是对有羊水污染、绒毛膜羊膜炎、易导致宫腔感染的宫颈炎及阴道炎病例更为适合的剖宫产方式。

Objective To compare the effect among different methods of cesarean section about premature rapture of membrane. Methods The operation duration, Apgar score of neonates and postoperative morbidity were compared between 41 cases with extraperitoneal cesarean section and 50 cases with ameliorative newtype cesarean section. Results There was no difference between two groups in operation duration, Apgar score of neonates （P 〉 0. 05）. In extraperitoneal cesarean section group, postoperative gastrointestinal function recovery was significantly earlier than that in ameliorative newtype cesarean section group （P 〈 0. 01 ） . Conclusion The extraperitoneal cesarean section should be spread in premature rapture of membrane for its good operative result, and low postoperative morbidity.