改良腹式横切口与纵切口子宫下段剖宫产术效果比较

目的比较改良腹式横切口与纵切口子宫下段剖宫产术效果。方法将有剖宫产手术指征的产妇分为观察组和对照组,每组各90例。两组均行连续硬膜外麻醉,观察组采用改良腹式横切口下段剖宫产术,对照组采用腹式纵切口下段剖宫产术,术后两组静脉滴注青霉素预防感染。观察并记录两组产妇剖宫产手术时间、胎儿娩出时间、术中出血量、术后肛门排气时间、新生儿Apgar评分、新生儿体质量,以及术中损伤(血尿、切口延裂)、术后疼痛等不良反应。结果观察组剖宫产手术时间、取胎时间、术中出血量、术后排气时间与对照组相比较差异具有统计学意义(P<0.01);观察组新生儿Apgar评分、新生儿体质量与对照组相比较,差异具有统计学意义(P<0.01);观察组术中血尿、切口延裂、术后疼痛、术后病率的发生率与对照组相比较,有统计学意义(P<0.05)。结论改良腹式横切口剖宫产术比纵切口子宫下段剖宫产术的手术效果好,并发症少。

Objective To compare the modified abdominal transverse incision and longitudinal incision results lower uterine segment cesarean section. Methods The indications for cesarean section will be divided into two groups of mothers and the control group, 90 cases in each group. Group 2 were continuous epidural anesthesia, the observation group with modified abdominal transverse incision lower segment cesarean section in the control group were treated with abdominal transverse incision lower segment cesarean section, two groups after intravenous infusion of penicillin to prevent infection. Two groups were observed and recorded the total time of cesarean section, fetal parturition time, blood loss, postoperative anal exhaust time, neonatal Apgar score, neonatal physical science, as well as intraoperative damage （hematuria incision extended cleft）, postoperative pain and other adverse reactions. Results The operative time of cesarean section group, take birth time, blood loss, postoperative time to discharge compared with the control group statistically significant difference （P〈0.01）; Observer Group of the neonatal Apgar scores, newborn infant body mass compared with the control group, the difference has no statistical significance （P〈0.01）; Observer Group ofintraoperative hematuria, incision extended cleft, postoperative pain, the incidence of postoperative morbidity compared with the control group, statistically significant （P〈0.05）. Conclusion Modified abdominal transverse incision cesarean section than the longitudinal incision of the lower uterine segment cesarean section surgery good results with few complications.