不同腹壁切口对再次剖宫产手术96例临床分析

Clinical Analysis of 96 Cases With Different Abdominal Incision to Re-caesarean Section Surgery

目的：分析首次剖宫产术方法对再次剖宫产术的影响。方法从2013年3月～2015年3月来我院进行二次剖宫产术分娩的患者当中选出96例，将其按照首次剖宫产手术方法分为两个小组，其中采用纵向切口的患者作为研究组，采用横向切口的患者作为对比组。分别对两组患者再次剖宫产术过程中切口附近盆腔粘连情况、出血量、手术时间以及新生儿状况等数据进行分析。结果从两组患者相关数据的可看出，研究组患者的手术时间、术中出血量均低于对比组，同时研究组患者盆腔粘连情况低于对比组，研究组胎儿分娩困难发生率、窒息发生率也低于对比组（P ＜0.05）。结论在对患者进行首次剖宫产的过程中，一定要询问患者是否进行二次剖宫产术，如果患者有需求，则首次剖宫产应采用纵向切口方法，降低盆腔腹腔粘连发生的几率，提高患者生活质量。

Objective Analyze the first cesarean section surgery have an effect on the re-caesarean section surgery. Methods Chose 96 cases among the patients which came Our hospital to have the second cesarean section delivery from March 2013 to March 2015, then It is divided into two groups according to the first cesarean section surgery method. Then we chose the longitudinal incision of patients as a research group, and transverse incision of patients as comparative group. Respectively, analyze the data on two groups of patients with re-caesarean section surgery near the notch in the process of pelvic adhesions, blood loss, operating time and neonatal condition. Results Patients in the research group are significantly lower than the patients in the comparative group on blood loss and operating time, but higher on pelvic adhesions. Research group incidence of fetal childbirth difficulties, asphyxia rate is lower than the comparative group （P〈0.05）. Conclusion In the first process of patients with cesarean section, we must ask whether patients have a secondary cesarean section. If the patient has a demand, we need adopt longitudinal incision in the first cesarean section, to reduce the incidence of pelvic peritoneal adhesion occurred and improve patient quality of life.