新式剖宫产术的临床意义

The clinical significance of the Misgav-Ladach-Method cesarean section.

目的 :论证新式剖宫产术的临床意义。方法 :对 99例行剖宫产术患者 ,采用钝性分离皮下组织 ,纵向撕开腹膜 ,Dexon线连续锁扣缝合子宫全层 ,不缝合腹膜及腹直肌。Dexon线连续缝合筋膜及间断全层缝合皮肤及皮下组织 ,并用这种剖宫产术与前期腹膜外剖宫产术比较。结果 :新式剖宫产术时间短 ,手术损伤小 ,术中出血少 ,手术效果好 ,术后开奶早 ,切口疼痛轻 ,下床活动早 ,术后血尿率低等 ,与对照组比较有显著性差异 (P <0 0 5)结论 :新式剖宫产术手术效果好 。

OBJECTIVE:To study the clinical signficance of the Misgav Ladach Method cesarean ection. METHODS:99 cases of pregnant women were peformed cesarean, subcutaneous tissue was seperated bluntly, the peritoneum was torn longitudinaly. Muscular layer of uterus was sutured lockstitch be Dexon thread. While peritoneum and musculus rectus abdominis weren't sutured. Fuscia layer was sutured continuously by Dexon thread, then skin and subcutaneous tissue were sutured interruptedly. We compared this operation with extraperitoneal cesarean section at earlier stage. RESULTS:The Misgav Ladach Method cesarean section had advantages of shorter operative time, less operative damnification, less blood loss during operation, achieved good results, breastfeed earlier, setting out of bed earlier, slight pain and low hematuria rate after operation. The difference was significant as compared with the control group (P<0 05).CONCLUSION:The Misgav Ladach Method cesarean section should be spread in clinic for its achieve good operative results and recovering health earlier.