剖宫产术对再次妇科手术的影响

Effect of cesarean section on the second gynecologic surgery

目的:探讨剖宫产术对再次妇科手术的影响。方法:收治剖宫产术后再次妇科手术患者50例作为观察组,同时收治无妇产科手术史行全子宫切除术患者50例作为对照组,比较两组治疗效果。结果:两组的开腹时间、开腹出血量、术中出血量、手术时间差异有统计学意义(P<0.05)。观察组粘连发生率20.0%,明显高于对照组的8.0%(P<0.05)。结论:剖宫产术对再次妇科手术有一定负面影响,降低剖宫产率是解决这问题的最好途径。

Objective:To explore the effect of cesarean section on the second gynecologic surgery.Methods:50 patients withgynecologic surgery after cesarean section were selected as the observation group,at the same time,50 patients with completehysterectomy without history of gynecology and obstetrics surgery were selected as the control group.We compared the therapeuticeffects of the two groups.Results:There were significant differences in the open time,the amount of bleeding at open the abdominalcavity,the amount of bleeding during operation and the time of operation between groups(P<0.05).In the observation group,theincidence of adhesion of 20.0% was significantly higher than 8% in the control group(P<0.05).Conclusion:Cesarean section hadnegative impact on the second gynecologic surgery.Reducing the rate of cesarean section was the best way to solve this problem.