剖宫产子宫下段切口不同缝合方法的临床比较

The clinical comparison of cesarean section incision of lower uterine segment different suture method

目的:分析剖宫产子宫下段切口不同缝合方法的临床应用疗效,进一步指导临床。方法:回顾性分析剖宫产手术患者80例,根据剖宫产手术采取子宫下段切口不同的缝合方法将患者分为观察组和对照组,每组各40例。观察组患者采取单层连续锁边缝合方式,而对照组患者采取传统的双层缝合方式,对比分析两组的手术时间、胎儿娩出时间、术中出血量、子宫切口愈合及盆腔粘连情况。结果:观察组手术时间、胎儿娩出时间、术中出血量明显少于对照组,差异具有统计学意义(P<0.05);观察组子宫切口愈合及盆腔粘连情况明显优于对照组,差异具有统计学意义(P<0.05)。结论:剖宫产子宫下段切口应用单层连续锁边缝合具有疗效满意,切口愈合良好,且减少了术后盆腔粘连并发症的发生。

Objective To investigate the clinical effect of cesarean section incision of lower uterine segment different suture meth-od,further guide clinical.Methods A retrospective analysis 80 cases of patients with cesarean section operation of the production sec-tor,according to the cesarean section operation take suture method of incision of lower uterine segment different patients were divided into two groups,the observation group and the control group,40 cases in each group,the observation group patients take a single con-tinuous locking stitch suture method double layer suture,while the control group adopted the traditional way of comparative analysis of patients,operation time,operation time,fetal childbirth two groups take different suture methods of bleeding,uterine incision healing and pelvic adhesions.Results The operation time,bleeding volume group to observe fetal childbirth time,intraoperative significantly less than the control group,the difference with statistical significance （P 〈0.05）,the observation group of uterine incision healing and pelvic adhesion was significantly better than the control group,the difference was significant,with statistical significance （P 〈0.05）. Conclusion Cesarean section incision of lower uterine segment using single continuous locking stitch suture with satisfactory effect,the incision healed well,and reduce the occurrence of pelvic adhesion of postoperative complications,worthy of clinical reference.