新式剖宫产318例临床分析

Clinical analysis of 318 cases of new mode cesarean section

目的 :探讨新式剖宫产的手术方式及其临床价值。方法 :对 46 8例有手术指征的孕妇随机分为三组 ,即新式剖宫产不缝合腹膜组、缝合腹膜组及子宫下段剖宫产组。对手术时间、术中出血量、术后病率及盆腔B超检查情况进行对比观察。结果 :二种新式剖宫产术式与子宫下段剖宫产术比较 ,手术时间、术中出血量、术后病率差异有显著性 (P <0 .0 5 ) ,新式剖宫产二种术式比较 ,术中出血量、术后病率差异无显著性 (P >0 .0 5 ) ,手术总时间及盆腔B超检查结果差异有显著性 (P <0 .0 5 )。结论 :新式剖宫产术手术时间短、出血少、病人疼痛轻、排气快。

Objectives: To study types of new mode cesarean section (CS) and its clinical value. Methods: Four hundred and sixty eight pregnant women with operative indications were randomly divided into three groups: the new mode CS group whose peritoneum was not sewed, the new mode CS group whose peritoneum was sewed, and the lower segmental CS group . The duration of operation,bleeding volume,mobidity after operation, and B type ultrasound for examining the incision were observed. Results: There were significant difference in the duration of operation,bleeding volume,and mobidity after operation between the lower segmental CS and the two types of the new mode CS (P<0.05). There was no significant differences in the bleeding volume and mobidity after operation between the two types of the new mode CS (P>0.05), but there were significant difference in the duration of operation and the incision examined by B type ultrasound (P<0.05). Conclusion: The new mode CS has shorter operative period, less bleeding, weak pain, faster recovery of peristalsis, and lower incidence of post operative mobidity. [