腹膜外剖宫产82例临床分析

The clinical analysis of the extraperitioneal cesarean section in 82 cases

目的通过对82例腹膜外剖宫产的临床观察，术后随访，探讨开展腹膜外剖宫产的必要性及优缺点。方法采用回顾分析方法，将2年前所行的腹膜外剖宫产并一直术后随访的82例设为观察组，将同期的90例腹膜内子宫下段剖宫产设为对照组，进行对比分析。结果腹膜外剖管产术中切口延裂发生率低、术后疼痛轻、胃肠功能恢复快，肛门排气早，但从切皮至出胎时间较腹膜内长（P〈0.01），术后随访未发现远期并发症。结论在普遍开展剖宫产的医院有.必要开展腹膜外割宫产，但对于急需娩出胎儿或需探查腹腔者不宜选择腹膜外剖宫产。

Objective To study the necessity and advantages and disadvantages of the surgery with cesarean section outside peritoneum through the observation and following - up 82 cases with the surgery of cesarean section outside peritoneum. Methods The data of 82 cases in observation group with the surgery of cesarean section outside peritoneum and 90 eases with uterine lower segmental cesarean section in control group was analyzed comparatively. Results The incidence rate of incision cleft was lower, the pain was slighter and the time from the incision to the explusion was shorter of cesarean delivery outside peritoneum than that of the operation of intra - peritoneal. Conclusion It was essentiality to carry out the cesarean section outside peritoneum in the hospital and it was inadvi- sable to carry out that surgery that patients need to delivery urgently and have the operation of peritoneal exploration.