两种剖宫产腹部切口选择对其腹部切口子宫内膜异位症发生率比较

Comparison of incidence rates of abdominal incision endometriosis caused by two different caesarian section techniques

目的通过观察新式剖宫产术与子宫下段剖宫产术两种剖宫产腹壁切口不同选择对其术后并发症腹部切口子宫内膜异位症发生率情况,探讨减少剖宫产术后腹部切口子宫内膜异位症发生率的有效方法。方法 1998年9月~2008年9月在本院仅行1次剖宫产及选择两种不同腹壁切口、随访3年内诊断患有腹部切口子宫内膜异位症的产妇,对两者发生率进行比较。结果 3 150例采用子宫下段剖宫产术产妇3年内患有腹部切口子宫内膜异位症患者为24例;2 942例采用新式剖宫产术产妇3年内患有腹部切口子宫内膜异位症患者为56例,两者发生率有明显统计学差别（P〈0.01）。结论在减少腹部切口子宫内膜异位症发生率,选择子宫下段剖宫产术（纵切口）为一种有效的方法。

Objective To find an effective way to decrease the rate of abdominal incision endometriosis by comparing the results of the new-style and lower-segment incision techniques for caesarean section.Methods The clinical data of women who had only one caesarian section and women with two different ways of abdominal incisions from September 1998 to September 2008 in our hospital were analyzed.All women were followed up for three years.The incidence rates of the endometriosis were compared.Results A total of 24 out of 3150 patients with lower-segment caesarean section had abdominal incision endometriosis within three years,while 56 out of 2942 patients with new-style caesarean section had endometriosis at the same period.The incidence rates showed statistically significant differences（P0.01）.Conclusion In order to decrease the incidence rates of abdominal incision endometriosis,selection of lower-segment incision technique for caesarean section（longitudinal incision） is very effective.