三种剖宫产术式的临床比较

Clinical Comparison of Three Types of Cesarean Section

目的 :通过三种剖宫产术式的比较以了解更适用于临床的剖宫产术式。方法 :回顾分析本院 1998年 1月～1999年 12月 35 9例剖宫产产妇 ,按术式分成三组 :新式剖宫产、腹膜外剖宫产、子宫下段剖宫产。对其手术时间 ,娩头困难、术后排气、切口感染、术后病率进行比较。结果 :新式剖宫产在手术时间、术后排气及术后感染、术后病率均显著低于腹膜外剖宫产及子宫下段剖宫产 (P <0 .0 1或P <0 .0 5 )。结论

Objective: To explore the best type of cesarean section (CS) applicable to clinic by comparative research of three types of CS. Methods: From Jan.1980 to Dec.1999,359 puerperants undergoing CS in our hospital were studied retrospectively.They were divided into three groups according to the type of operation: the new mode, extraperitoneal and lower segmental CS.The duration of operation, difficulties in delivering fetal head,postoperative breaking wind,postoperative infection and postoperative morbidity of three groups were compared.Results: Compared with the other two groups,the above mentioned 4 items in the new mode CS group were significantly lower. Conclusion: The new mode CS has superior clinical applicative prospect than extraperitioneal and lower segmental CS.