新式剖宫产382例临床分析

Clinical analysis of 382 new mode cesarean section.

目的 评价新式剖宫产术式的优点。方法 分析 382例新式剖宫产产妇术中、术后情况 ,并与同期腹膜外剖宫产及子宫下段剖宫产比较 ,观察手术时间、出血量、娩头难易、术后进食时间及排气时间等。结果 新式剖宫产较腹膜外剖宫产从开腹到娩胎儿时间平均缩短 10 1min(P <0 0 1) ,出血量平均减少 2 8ml(P <0 0 5 ) ,且娩胎头容易 ;较子宫下段剖宫产手术时间平均缩短 12min(P <0 0 1) ,术后进食平均早 11 9h(P <0 0 1) ,术后排气平均早 15 5h(P <0 0 1)。对膀胱无干预 ,术后均无血尿及排尿困难发生。

Objective To evaluate the prominent merit of new mode cesarean section(CS).Methods The duration of operation, bleeding volume, difficulties of taking out fetal head, the postoperative period of taking food and breaking wind were analyzed in 382 cases of new mode cesarean section, and compared with those in extraperitoneal CS and uterine lower segmental CS.Results Compared with extraperitoneal CS, the new mode had the following merits: the duration between the skin incision and getting the fetus out was 10 1 min shorter (P<0 01),bleeding volume 28ml less than that of extraperitoneal CS in average, and it was easier to get the fetal head out. Compared with the uterine lower segmental CS, the duration of operation was 12min shorter; the period between operation to taking food was 11 9h earlier (P<0 01) and to breaking wind was 15 5h earlier. In addition, there was no stimulation to the bladder, and no hematuria or disuria after operation .Conclusion The new mode cesarean section can be universally used in clinic.