改良式剖宫产术与传统剖宫产术对再次剖宫产的影响

目的探讨改良式剖宫产术与传统剖宫产术对再次剖宫产的影响观察改良式剖宫产与传统剖宫产的利弊。方法选择208例具有剖宫产史但是需再次进行剖宫手术的患者,其中102例患者前次行改良式剖宫产术,设为观察组,106例患者前次行传统剖宫产术,设为对照组。对两组患者的手术时间、腹腔粘连、腹壁粘连、盆腔粘连、术中出血量以及术中切开腹壁暴露子宫下段所用时间进行比较。结果观察组的手术总时间较对照组手术总时间短(P<0.01),术中切开腹壁暴露子宫下段期间出血量也比对照组出血量少(P<0.01),术中切开腹壁暴露子宫下段所用时间较对照组所用时间短(P<0.01),观察组中无粘连率比对照组高(P<0.01),且总粘连率低于对照组(P<0.01)。结论改良式剖宫产术比传统剖宫产术更有利于进行再次剖宫产术。

Objective To investigate the impact of the modified cesarean section cesarean section on repeat cesarean section, and observe the advantages and disadvantages of the modified cesarean section and cesarean section. Methods Select 208 cases of patients with history of cesarean section, but must once again carry out caesarean surgery, 102 cases of patients with previous modified cesarean section as observation group; 106 cases of patients with previous traditional cesarean section as control group. Compare the time of surgery, abdominal adhesions, pelvic adhesions, blood loss, and the time toexpose the lower uterine segment between two groups. Results The time of surgery of observation group is shorter （P〈0.05） than control group, and the blood loss was fewer than control group （P〈0.05）. Conclusion The modified cesarean section cesarean section is better on repeat cesarean section.