90例剖宫产子宫切口撕裂的临床分析及防治

The clinical analysis and prevention of 90 cases of uterine incision lacerated wound in cesarean

目的:探讨剖宫产子宫切口撕裂的原因及防治措施。方法:回顾性分析2007年1月～2009年6月行剖宫产术1633例,其中切口撕裂90例。结果:枕后位切口撕裂率最高(63.33%),胎头深固者切口撕裂率最高(65.56%),体重大于4000g的胎儿子宫切口撕裂率明显高于体重低于4000g者,子宫下段形成差者切口撕裂率高。结论:医生熟练掌握剖宫产手术指征,做好日常监护工作,把握手术最佳时机,能有效避免出现剖宫产子宫切口撕裂。

Objective： To explore the reasons of tearing the uterine - incision in cesarean and the control measures. Methods： 1 633 cases of cesarean were retrospectively analyzed in our hospital in January 2007 - June 2009, 90 of them were lacerated wound of uterine - incision. Results： The rates of uterine - incision lacerated wound were 63. 33% in accipitoposteriror position and 65. 56% when the fetal head were deep - solid. The rate of uterine - incision lacerated wound was significantly higher when the fetal body 〉 4 000 g than that when the fetal body 〈4 000 g. Conclusion： The physicians should master the cesarean section indications, do a good daily monitoring work, and grasp the best surgery time, which can effectively avoid the lacerated wound of uterine incision in cesarean.