改良新概念剖宫产术对腹壁及盆腹腔粘连情况的临床分析

Clinical analysis of improve new concept cesarean section on the abdominal wall and abdominopelvic cavity adhesions

目的:探讨改良新概念剖宫产术与其他方式剖官产术对腹壁及盆腹腔粘连情况差异,进一步改进剖宫产手术细节,减轻再次剖宫产手术难度。方法:将行再次剖宫产术的332例手术进行回顾分析。以其中既往在我院行改良新概念剖宫产142例为观察组,既往做其他方式剖宫产190例为对照组,比较两组术中所见腹壁及盆腹腔粘连程度。结果:既往在我院行改良新概念剖宫产术者粘连最轻,粘连发生率最低,与其他方式剖宫产术比较,差异有统计学意义(P<0.05)。结论:经改良后的新概念剖宫产手术所致粘连最轻,粘连发生率最低,不给再次手术带来困难,应积极推广运用。

objective To discuss the improvement of the new concept of cesarean sectionand other ways cesarean section surgery for ab-dominal abdominal adhesions differences and further improve cesarean section details the difficulty of reoperation to reduce cesarean sec-tion. Method 332 cases of cesarean section surgery were analyzed retrospectively. To which the previous improvement in our hospital 142 ca-ses of cesarean new concept for the observation group,previous cesarean section 190 cases done in other ways as the control group,intraopera-tive findings were compared abdominal wall and abdominal adhesions. Results The cases of cesarean section history improved new concept were the lightest adhesion. Adhesion was the lowest,with statistical significance and other cesarean section difference （P〈0. 05）. Conclusion By the improvement of the new concept of cesarean section surgery adhesions caused by the light,the lowest incidence of adhesions,does not bring the difficulty to reoperation,should actively promote use.