改良剖宫产缝合术式的探讨

Explanation of reformed suture of hysteratomg

目的探讨一种快速、有效、安全的剖宫产术式。方法改传统的缝合方法，子宫单次全层缝合，不缝合腹膜、皮下及皮肤一次缝合共１６８例；对手术时间、术中出血量、术后肠功能恢复情况、术后病率、切口愈合情况、术后尿潴留等与同期传统子宫下段剖宫产术进行比较。结果无１例术后发生切口疝，手术时间，治疗组平均３４．６３±２．１６分钟，对照组平均５４．８６±３．１４分钟；（Ｐ＜０．００１）；出血量，治疗组平均２３５．１２±９６．７０ｍｌ，对照组３１７．８６±１２８．３２ｍｌ，（Ｐ＜０．０１）；术后病率，治疗组８．９３％，对照组３２．１４％（Ｐ＜０．０５）。结论此术式安全、快速、并发症少，有推广价值。

Objectives To study a quick,effective and safe operation way of cesearean .Methods Traditional suture way waschanged into sewing whole layer of wterus,both skin and subcutaneous together in one time and not sewing peritoneum on 168 patients.Operation lasting time,blood losing amount during operation,postoperative state of intestine function recoverying,postoperative ill-rate,incision healing state and postoperation retention of urine,ete,were compared with carlical cesarean section at the sameperiod.Results None of the patient get incisional hernia,the operation lasting time was;test proup 34.63±2.16;coutrol group 54.86±3.14;( P <0.001).the blood losing:amount was test proup 235.12±96.70ml;coutrol group 317.86±128.32ml,( P <0.01);the postoperstlive ill-rate was:test proup 8.93%,coutrol group 32.14% ( P <0.05).Conclusions This kind of operation way was safe-quick and complications were less,thas it was worth of populavization.