首次剖宫产不同术式对再次剖宫产术的影响

For the First Time in Different Operative Methods for Cesarean Section Again Cesarean Section Influence

目的:探讨首次剖宫产不同术式对再次剖宫产术的影响。方法:对我院再次剖宫产术91例术中情况进行回顾性分析,比较首次剖宫产不同术式对再次手术的影响。结果:首次为新式剖宫产与传统子宫下段剖宫产术后再次手术从开腹时间、手术总时间、腹腔中度粘连及术后24小时排气时间比较差异均有显著性意义(P<0.05)。结论:严格掌握剖宫产指征,首次剖宫产应视具体情况选择最佳手术方案。对可能需再次手术的患者选择腹壁纵切口、子宫下段横切口剖宫产手术为宣。

Objective： To study the different operative methods for first cesarean section again cesarean section influence.Methods：Again cesarean section 91 patients intraoperatie retrospective analysis, comparison of different operative methods for first cesarean section reoperation influence. Results：For the first time for new cesarean section and traditional lower uterine segment atter cesarean section reoperation sigmoidectomy time, operation from the total time, celiac moderate adhesion and postoperative 24 hours exhaust time comparative differences arc significant （P〈 0.05）. Conclusions：Strictly mastering cesarean section indications, first cesarean delivery according to specific situation choose the best surgical programme. On may be required reoperation patients to choose longitudinal incision abdominal wall, lower uterine segment crosscut mouth cesarean section surgery advisable.