改良新式剖宫产和M.Stark新式剖宫产的比较

Comparison of modified new type caesarean section and M.Stark new type aesarean section

目的分析新式剖宫产的应用及临床价值。方法对我院2014年5月至2017年5月行新式剖宫产的264例产妇的临床资料进行回顾性分析,根据手术方式的不同进行分组,132例采用改良新式剖宫产术产妇设为改良组,132例采用M.Stark新式剖宫产术产妇设为对照组,比较两组产妇的切口愈合、手术情况、腹壁及腹腔粘连情况。结果改良组产妇甲级愈合占93.9%、乙级愈合占6.1%,与对照组的89.4%、10.6%比较,差异无统计学意义(P>0.05);两组产妇手术情况比较,差异无统计学意义(P>0.05);改良组产妇腹壁及腹腔粘连程度Ⅰ级、Ⅳ级显著优于对照组产妇(P<0.05)。结论采用改良新式剖宫产术可减轻M.Stark新式剖宫产术的腹壁及盆腔粘连程度,值得临床推广及运用。

Objective To analyze the application and clinical value of new cesarean section. Methods The clinicaldata of 264 maternal who underwent new cesarean section from May 2014 to May 2017 in our hospital wereretrospectively analyzed. They were grouped according to different surgical methods. One hundred and thirty-two maternalwho treated with modified new cesarean section were selected as the modified group. One hundred and thirty -twomaternal who treated with M.Stark＇s new cesarean section were enroued as the control group. The wound healing, surgicalindicators, abdominal wall and abdominal adhesions between the two groups of maternal women were compared. ResultsIn the modified group, the incision grade A healing rate was 93.9%,and the incision grade B healing rate was 6.1%; Inthe control group, the rates of ineision gradeA healing and grade B healing were 89.4% and 10.6%. There was nosignificant difference between the two groups （P〉0.05）. There was no statistically significant difference in operativeindexes between the two groups （P〉0.05）. The percentage of abdominal and intra-abdominal adhesions in class I, classIV of the modified group was significantly better than those of the control group （P〈0.05）. Conclusion The clinicalapplication of new cesarean section is extensive. The use of modified new cesarean section can reduce the degree ofabdominal wall and pelvic adhesions in M.Stark＇s new cesarean section. It is worthy of clinical promotion and application.