剖宫产手术切口选择的临床探讨

Cesarean Section Incision Clinical Study

目的:探讨剖宫产手术切口的不同对孕产妇再次手术的影响。方法:对2010年2月-2011年2月100例二次剖宫产资料进行回顾性分析。分组依据:腹壁横切口疤痕50例,腹壁纵切口疤痕50例。结果:不同手术切口开腹时间、术中粘连、术中出血量、新生儿阿氏评分、术野暴露、切口愈合之间的比较,差异显著。结论:严格掌握剖宫产指征,降低剖宫产率,对有剖宫产指征的应该依据孕产妇具体情况选择最佳手术方式,以利于再次手术的操作,减少手术创伤,降低再次手术操作的难度。

Objective：To explore the influence of different surgical incision of cesarean section on gravida/puerpera re-operation.Methods：Analyze and review the data of 100 twice cesarean section cases from February 2010 to February 2011,grouped by 50 cases of abdominal transverse-incision scar and 50 cases of abdominal vertical-incision scar.Results：In the following areas there are significant differences： surgical abdominal incision time,intraoperative adhesions,blood loss,neonatal Apgar score,the operative field exposure and the wound healing time.Conclusion：Strictly grasp cesarean section indication;lower cesarean section rate;for gravida who have cesarean section indications the best surgical approach should be chosen basing on their specific situation to facilitate the re-operation and to reduce the surgical trauma,degrade re-operation difficulty.