三种剖宫产术的临床比较分析

The Comparison and Analysis of Three Types of Caesarean Sections

目的比较三种剖宫产术式的优缺点,寻找更安全优越手术方式。方法回顾性分析本院1998年1月～2007年12月865例剖宫产产妇,分别采用新式、腹膜外和子宫下段剖宫产术,对其手术时间,手术至胎儿娩出时间,术中出血量,术后排气时间和新生儿Apgar评分进行比较观察。结果新式剖宫产与子宫下段剖宫产、腹膜外剖宫产相比,在手术时间、手术至胎儿娩出时间、术中血出量均明显降低,差异有显著意义(P<0.01),新生儿Apgar评分三组显著无差异。结论新式剖宫产术优于子宫下段剖宫产术和腹膜外剖宫产术。

Objective To compare the advantages and disadvantages of three types of caesarean sections and search safer and better operation way. Methods Retrospective analyze 865 puerperants of caesarean section from Feb,1998 to Dec,2007 in my hospital,who were operated with the Misgav Ladach method,low-segment cesarean section and extraperitoneal cesarean section respectively,observe and compare the operation time,operation to fetal disengagement time,the amount of bloodshed,exhaust time after operation and newborn Apgar score. Results The operation time,operation to fetal disengagement time, the amount of bloodshed and exhaust time other than newborn Apgar score of the Misgav Ladach method were decreased compared to those of low-segment cesarean section and extraperitoneal cesarean section with significant differences （P 〈0.01）. Conclusion The Misgav Ladaeh method were better than low-segment cesarean section and extraperitoneal cesarean section