改进式横切口微痕剖宫产术后再次剖宫产术的临床效果分析

The Clinical Effectiveness Analysis of Cesarean Section Again about Post-operative of Modified Crosscutting Slight-scar Cesarean Section

目的:探讨改进式横切口微痕剖宫产术后再次剖宫产术的临床疗效,为临床推广做出指导。方法:选取120例既往行改进式横切口微痕剖宫产术(改良组)、134例既往行腹壁纵切口剖宫产术(腹壁纵切口组)、94例既往行新式剖宫产术后(新式剖宫产组)需二次剖宫产术的患者资料进行回顾性分析,对比观察三组患者的临床治疗效果。结果:改良组与腹壁纵切口组、新式剖宫产组比较,在腹壁、腹腔粘连、手术开始至胎儿娩出时间、手术总时间方面,差异均有统计学意义(P<0.05)。结论:改进式横切口微痕剖宫产术术后腹壁、腹腔粘连发生率最低,腹壁纵切口剖宫产术次之,新式剖宫产最高,对可能需要二次开腹患者,首次剖宫产宜选择改进式横切口微痕剖宫产术。

Objective：To investigate clinical efficacy of on cesarean section again about post-operative of modified crosscutting slight-scar cesarean section,which made guidance for clinical application. Method：120 cases of accepted modified crosscutting slight-scar cesarean section（modified group）,134 cases of accepted portrait-cutting（longitudinal incision group）,94 cases of new type cesarean sections（new type cesarean sections group）were selected,and the patient’ clinical data were retrospectively analyzed. The clinical efficacy of two groups were compared. Result：There was statistical significance of differences in abdominal adhesion,delivery time and surgical time between the three groups（P〈0.05）. Conclusion：The occurrence of abdominal adhesion from modified crosscutting slight-scar cesarean section cases is the lowest,portrait-cutting cesarean section is higher,and new type cesarean section is the highest. It is suggested to accept Modified crosscutting slight-scar cesarean section for those who need the second operation.