首次剖宫产行腹壁中线纵切与腹壁横切对术后并发症及再次剖宫产的影响

Postoperative complications and influence on cesarean section again of first cesarean delivery by middle route of the abdominal wall slitting and abdominal wall transverse

目的探讨首次剖宫产行腹壁中线纵切与腹壁横切对术后并发症及再次剖宫产的影响。方法选择孟县人民医院2012年2月至2014年2月收治的100例再次剖宫产产妇为研究对象，按照首次剖宫产不同术式将其分为纵切组（n=54）和横切组（n=46），对两组术后并发症及再次剖宫产手术情况进行比较。结果纵切组瘢痕纤细率50％，明显率3．70％；横切组瘢痕纤细率17．39％，明显率21．74％，两组比较差异有统计学意义（P〈0．05）。另外，两组产妇腹腔粘连严重程度、手术时间、术中出血量、胎儿娩出时间比较差异有统计学意义（P〈0．05）。结论首次剖宫产行腹壁中线纵切能有效减少盆腹腔粘连、瘢痕程度，降低再次剖宫产风险。

Objective To investigate the postoperative complications and influence on cesarean section again of first cesarean delivery by middle route of the abdominal wall slitting and abdominal wall transverse. Methods One hundred cases of cesarean section maternal again from February 2012 to February 2014 in Yuxian people＇ s hospital as the research objects were selected, according to different operative methods they were divided into longitudinal cutting group （n = 54） and crosscutting group （n = 46）, the postoperative complications and cesarean section surgery again were compared between the two groups. Restilts Scar fine rate was 50%, apparent rate was 3.70% in longitudinal cutting group; scar fine rate was 17. 39%, apparent rate was 21.74% in crosscutting group , the differences were significant between the two groups（P 〈 0.05）. In addition, maternal abdominal adhesions severity, operation time, intraoperative blood loss, fetal childbirth time had significant differences between the two groups （P 〈 0. 05 ）. Conclu-sions First caesarean section by middle route of the abdominal wall longitudinal cutting can effectively re-duce the degree of abdominal cavity adhesion, scar, reduce the risk of cesarean section again.