摘要
目的 对比分析122例新式剖宫产术与144例直切口剖宫产术.方法 新式剖宫产采用撕拉法分离皮下脂肪、筋膜、腹膜、膀胱腹膜反折及子宫肌层,不缝合腹膜及膀胱反折,表皮缝合3针.结果 新式剖宫产与直切剖宫产比较,术中总出血时间:新式组(138±35.2)ml,对照组(185±42.3)ml;总手术时间:新式组(21±5)min,对照组(29±8)min;术后恢复时间:新式组(21±8)h,对照组(31±10)h.两组比较差异极显著(P<0.01).结论 新式剖宫产具有手术时间短、步骤少、损伤小、术后病率低、恢复快、外表美观等优点,而且肥胖孕妇、巨大儿、臂位等所有有剖宫产指征的产妇均适应用本法.
ve To compare and analyze new style cesarean section based on 122 cases for practiceswith vertical incision cesarean section based on 144 cases. Methods New style cesarean section applies the methodof rending. Separate subcutaneous fat .fascia.peritoneum .uteroyesical peritoneum and myometrium. It doesn 't sew upperitonatum and uterovesical peritoneum. Skin sews up three needles. Results To compare new style cesareansection and vertical incision cesarean section: During the operation the amount of hemorrhage were(138 ± 35. 2)ml and(185 ± 42. 3)ml in study group and control group respectively; The operation time were(21 ± 5)min and (29± 8)min;the recovery time after operation were(21± 8)h and (31± 10)h. And their differences were all significant (P < 0. 01 ).Conclusions New style cesarean section has advantages including short operation time. simple procedures. lightdamage. low ratio of infection after operation. quick recovery. decent appearance. This method fits to over weightpuerperants. fetal macrosomia. breech presentation and all puerperants with indication of cesarean section.
关键词
新式剖宫产
腹部模切口
撕拉法
New style cesarean section
Pfannenstiel's incision
The method of rending
