改良腹式横切口在胎儿窘迫产妇分娩中的应用及对分娩结局的影响

Application of modified abdominal transverse incision surgery in fetal distress delivery and the impact on delivery outcome

目的探讨改良腹式横切口在胎儿窘迫产妇分娩中的应用及对分娩结局的影响。方法选择2012年4月-2014年10月该院收治的行再次剖宫产的产妇82例,根据产妇剖宫产手术方式分为观察组和对照组。对照组采取常规剖宫产横切口,观察组采取改良腹式横切口。比较两组产妇术后腹膜前筋膜出血率、腹壁下血管损伤率、Apgar新生儿评分以及腹腔粘连情况。结果观察组Apgar评分高于对照组,腹膜前筋膜出血率、腹腔粘连率及腹壁下血管损伤率明显低于对照组,差异均有统计学意义(P均<0.05)。结论改良腹式横切口术可以有效减轻胎儿窘迫产妇分娩中新生儿的损伤,降低腹腔粘连率,效果显著,临床应用价值较高。

Objective To explore the application of modified abdominal transverse incision surgery in fetal distress delivery and the impact on delivery outcome. Methods Eighty-two parturient women undergoing secondary cesarean section in the hospital from April 2012 to October 2014 were selected and divided into observation group and control group according to the surgical methods of cesarean section; the women in control group adopted conventional cesarean section incision surgery, while the women in observation group adopted modified abdominal transverse incision surgery; preperitoneal fascia bleeding rates, epigastric inferior vessels damage rates, neonatal Apgar scores, and abdominal adhesion rates after surgery in the two groups were compared. Results Apgar score in observation group was higher than that in control group, preperitoneal fascia bleeding rate, abdominal adhesion rate, and epigastric inferior vessels damage rate in observation group were lower than those in control group, there were statistically significant differences （P〈0. 05） . Conclusion Modified abdominal transverse incision surgery can effectively reduce neonatal injury and abdominal adhesion rate during fetal distress delivery, the effect is significant, the clinical application value is high.