新式剖宫产与腹部横切口子宫下段剖宫产术后腹腔粘连情况比较

Comparison of abdominal adhesions of lower abdominal transverse incision uterine segment cesar- ean and caesarean section

目的：对比腹部横切口子宫下段剖宫产与新式剖宫产术后腹腔粘连的情况。方法选取信阳市中医院2013年5月至2014年5月收治100例再次剖宫产产妇，就腹部横切口子宫下段剖宫产术（ A组）与新式剖宫产（ B组）术后腹腔粘连情况进行比较。结果 A组腹腔粘连率为66％， B组为94％，差异有统计学意义（ P＜0.05）。 B组腹壁及腹腔广泛粘连率居较高水平，与A组比较差异有统计学意义（P＜0.05）。轻度粘连两组比较差异未见统计学意义（P＞0.05）。术后1～5年两组各类粘连情况比较差异未见统计学意义（P＞0.05）。结论与腹部横切口子宫下段剖宫产术比较，新式剖宫产术后腹腔粘连率较高，且程度严重，故临床需正确选择方案，以最大程度改善预后，保障患者生存质量。

Objective To discuss the postoperative abdominal adhesions of abdominal transverse incision of the lower uterine segment cesarean and cesarean section.Methods One hundred cases of ce-sarean section from May 2013 to May 2014 were treated by abdominal transverse incision of the lower u-terine segment cesarean section （ group A, n=50） and cesarean section （ group B, n=50） .The postop-erative abdominal adhesions were compared.Results The abdominal adhesions in group A was 66%, and 94%in group B, the difference was significant （ P〈0.05） .Abdominal wall and abdominal adhe-sions rate of group B was higher than that of group A, and the differences were significant （ P〈0.05 ） . There was no significant difference in mild adhesions（P〉0.05）.After 1 to 5 years, the adhesions had no significant difference between the two groups （ P〉0.05 ） .Conclusions Compared with abdominal transverse incision of the lower uterine segment cesarean section, postoperative abdominal adhesions rate of cesarean section is higher, and the severity of the clinical need it right options to maximize and improve the prognosis, protect the quality of life of patients.