不缝合腹膜剖宫产术式的临床观察

Clinical Observation on Cesarean Section without Suture of Peritoneum

目的 探讨不缝合腹膜剖宫产术式的临床效果。方法 选取剖宫产不缝合腹膜 80例产妇作为观察组 ,与同期分娩按传统方法缝合腹膜产妇 80例作为对照组 ,观察两组术后病率、肠功能恢复及切口愈合情况。结果 观察组术后病 6例 ,对照组 15例 ,两组比较 ,差异有显著性 (P <0 0 5 ) ;观察组术后肛门排气时间为 2 0 5± 5 33h ,对照组为 36 6 7± 6 17h ,两组比较 ,差别有高度统计学意义 (P <0 0 1) ;腹部切口愈合两组无差异。结论 不缝合腹膜剖宫产术式安全、有效、并发症少 ,值得在临床上推广应用。

Objective To discuss the clinical effect of cesa rean section without s uture of peritoneum. Methods 80 parturient taken cesarean section without sutur e of peritoneum were test group and other 80 parurient taken classical cesarean section with suture of peritoneum were control group. The complication, recover of intestinal function and healing of incision were compared between two groups. Results There were significant differences in comp lication between test group (6 cases) and control group (15 cases) and in recove r of intestinal function between test group (20.5±5.33h) and control group (36. 67±6.17h). There was no difference on incision healing between two groups. Conc l usion This method might be safe, effective and less complication for applicatio n in clinic.