基层医院腹膜外剖宫产可行性的探讨

Study on the Feasibility of Implementing the Extraperitioneal Cesarean Section Operation in the Base-Level Hospitals

目的：探讨腹膜外剖宫产术在基层医院应用的可行性.方法：对2007年6月-2010年8月间实施的100例腹膜外剖宫产,进行了手术时间、术中出血、术后排气、禁食时间及术后病率、切口甲级愈合率7项指标的观察,并随机选择腹膜内剖宫产100例作为对照组进行回顾性分析.结果：两种剖宫产手术时间、术中出血及切口甲级愈合率其差异无显著性（P＞0.05）;但术后排气、术后病率及禁食时间有显著性差异（P＜0.01）.结论：腹膜外剖宫产术后进食早恢复快,避免了任何程度的腹腔粘连,减少了腹腔感染的机会,并且操作方法简单,对医疗设备无特殊要求,适宜在基层医院推广实施.

Objectives： To explore the feasibility of implementing the extraperltioneal cesarean section operation in the base -level hospitals. Methods： The randomly chosen patients of 100 cases from June of 2007 to August of 2010 performed the operation of extraperitioneal cesarean section are observed the seven indexes of surgery time, blood loss, postoperative exhaust, fasting time, postoperative morbidity and A - class rate of wound healing, and then make a retrospective analysis with the comparison of the randomly chosen patients of 100 cases performed the operation of intraperitoneal cesarean section. Results： There are no significant differences between these two kinds of cesarean section operations in the surgery time, blood loss and A - class rate of wound healing （ p 〉 0.05 ） ; There are significant differences in postoperative exhaust, postoperative morbidity and fasting time. （ p 〈 0.01 ）. Conclusions ： The patients performed the operation of extraperitioneal cesarean section eat early and recover rapidly. This kind of operation can avoid any degree of abdominal adhesion, and reduce the chance of abdominal infection. It is easy and simple. There are no special requirements for medical devices. It is suitable for promoting implementation in the base - level hospitals.