腹壁横切口二次剖宫产162例临床分析

Clinical Analysis of two Abdominal Transverse Incision in 162 Cases of Cesarean Section

目的：了解不同缝合方式对二次剖宫产的影响。方法：将第一次剖宫产时连续缝合腹膜及间断缝合1~2针或不缝腹直肌的产妇（85例）归于A组,将第一次剖宫产时不缝腹膜而腹直肌行2~3个＂8＂字缝合的产妇（77例）归于B组,就其二次剖宫产术中所见粘连的程度、二次手术操作的时间、术中失血等情况进行比较。结果：A组粘连少,B组粘连重;前者手术操作时间短,失血少,手术操作难度小。结论：首次剖宫产时采用连续缝合腹膜及间断缝合1~2针或不缝腹直肌更有利于二次手术。

Objective：To explore how to do peritoneum and rectus suture in the econdary cesarean section with abdominal transverse incision in order to reduce the adhesion and lower secondary operating difficulties.Methods：In our hospital secondary cesarean section with transverse incision 162 cases,there were two different kinds of suture methods in previous cesarean section： group A（continuous peritoneal suture,no or less sewing rectus abdominis）,Group B（no sewing peritoneum,rectus abdominis interrupted suture 2～3 times similar word ＂8＂）.In secondary cesarean section observed the extent of adhesion,two times operative time,intraoperative blood loss and compared A with B group.Results：In A group adhesion was less than in B,the former operative time was shorter,less blood loss,little operative difficulty.Conclusion： The difference between the two groups was significant.