剖宫产术式临床探讨

cesarean section clinical analysis

目的探讨观察组剖宫产术式与新式剖宫产手术优势及再次手术的腹腔粘连情况,以期选择最合理的术式,适宜基层医院推广。方法对2003年1月至2012年10月来院行观察组剖宫产术765例,以及二次开腹手术,包括上次观察组剖宫产165例、上次新式剖宫产术102例进行回顾性研究分析,比较切皮至胎儿娩出时间、手术时间、出血量、术后病率、其腹壁及盆腔粘连情况。结果观察组剖宫产切皮至胎儿娩出时间短,术中出血量少,术后病率低,粘连较轻,粘连发生率低,与新式剖宫产术比较其差异具有统计学意义(P<0.05)。结论观察组剖宫产术步骤简单,粘连较轻,发病率低,值得临床推广应用。

Objective To investigate the observation group cesarean section（CS） and new cesarean section operation advantages and reoperation celiac adhesion,so as to choose the most reasonable operation,which is suitable for the promotion of basic-level hospitals.Methods A retrospective study was conducted about the observation group CS in 765 cases,and repeat CS（including the last time the observation group cesarean section 165 cases,the last time new cesarean section 102 patients）from January 2003 to October 2012,to contrast Time from skin incision to delivery,operating time,amount of bleeding,postoperative morbidity,the abdominal wall and pelvic adhesion.Results The improved new cesarean section was shorter operative time,less blood loss,lower postoperative morbidity,adhesion lighter and low incidence.Compared with cesarean section,the difference was statistically significant（P0.05）.Conclusion the observation group cesarean section with simple steps,lighter adhesion and lower incidence,is deserved to spread in clinical application.