剖宫产术对再次妇科手术的影响

Affection of cesarean for gynecological re-operation

目的探讨剖宫产术对再次妇科手术的影响。方法传统剖宫产术58例、新式剖宫产术76例,对照组无剖宫产术史60例,比较各组患者再次妇科手术术中、术后情况。结果剖宫产术史患者再次妇科手术在开腹时间、术中出血量、手术时间、盆腹腔粘连、术后恢复等情况与对照组比较,差异有统计学意义(P<0.05或P<0.01);而新式剖宫产术史者盆腹腔粘连情况更严重(P<0.05)。结论剖宫产术会增加再次妇科手术的难度及风险。

Objective To discuss the affection of cesarean for gynecological re-operation.Methods 58 patients after conventional cesarean section,76 patients after modern cesarean section,and other 60 patients without surgery before,were compared the situation intraoperative and postoperation with gynecological surgery again.Results Compared with normal control group,patients with cesarean section before that have significant difference in open time,bleeding,operation time,pelvic and abdominal conglutination and postoperative recovery （P 0.05 or P 0.01）.And there were more serious in pelvic and abdominal conglutination in modern cesarean section group （P 0.05）.Conclusion Cesarean section will increase the difficulty and risk in gynecological re-operation.