2种剖宫产术临床疗效的对比研究

Comparison of Clinical Effects of Two Cesarean Sections

目的比较子宫下段高位横切口剖宫产术式与传统子宫下段剖宫产术式的临床疗效。方法将240例产妇按随机数字表法分为2组,每组120例。观察组采用子宫下段高位横切口剖宫产术式,对照组采用传统子宫下段剖宫产术式。对2组术中出血量、手术时间、术后肛门排气时间、子宫口撕裂和娩头困难等情况进行比较。结果观察组的手术时间、术中出血、排气时间以及并发症等均显著低于对照组(均P<0.05)。结论子宫下段高位横切口术式在缩短手术时间、减少出血以及并发症方面较之传统子宫下段剖宫产术式具明显优势,临床效果满意。

Objective To compare the clinical efficacy of lower uterine segment high transverse incision and traditional lower segment cesarean section for cesarean delivery.Methods A total of 240 women were randomly assigned to receive either lower uterine segment high transverse incision（observation group,n=120） or traditional lower segment cesarean section（control group,n=120）.Intraoperative blood loss,operative time,anal exhaust time,tearing of the cervix,and difficulty in delivering the head were compared between the two groups.Results Compared with control group,operative time,intraoperative blood loss,anal exhaust time and complications significantly decreased in observation group（P0.05）.Conclusion Compared with traditional lower segment cesarean section,lower uterine segment high transverse incision for cesarean delivery can significant decrease operative time,intraoperative blood loss and complications.