不同切口方式对瘢痕子宫再次妊娠剖宫产术后并发症的影响

Effect of different incision methods on complications of cesarean section after re-pregnancy of scar uterus

目的研究不同切口方式对瘢痕子宫再次妊娠剖宫产术后并发症的影响。方法 148例剖宫产手术产妇,按照随机数字表法分为对照组与观察组,每组74例。观察组产妇采取横切口进行分娩,对照组产妇采取竖切口进行分娩。观察比较两组产妇切口愈合情况及术后并发症发生情况。结果两组产妇切口愈合情况比较,差异具有统计学意义(Z=2.573, P<0.05)。观察组产妇的并发症发生率为4.05%(3/74),显著低于对照组的13.51%(10/74),差异具有统计学意义(P<0.05)。结论采取横切口方式进行瘢痕子宫再次妊娠剖宫产术术后出现并发症的几率以及严重程度显著低于竖切口,在临床中通过科学的方式预防处理,可以提升治疗效果,在临床中值得广泛应用。

Objective To study the effect of different incision methods on complications of cesarean section after re-pregnancy of scar uterus.Methods A total of 148 cesarean section puerpera were divided by random number method into control group and observation group,with 74 cases in each group.The observation group received delivery mode of transverse incision,and the control group received delivery mode of vertical incision.The incision healing condition and occurrence of postoperative complications between the two groups were observed and compared.Results Both groups had statistically significant difference in incision healing condition(Z=2.573,P<0.05).The observation group had significantly lower incidence of complications as 4.05%(3/74)than 13.51%(10/74)in the control group,and the difference was statistically significant(P<0.05).Conclusion By transverse incision method,the probability and severity of complications after cesarean section of the uterus re-pregnancy is significantly lower than that of the vertical incision.It can be improved in clinical practice by scientific methods,and it is worthy of widespread application in clinical practice.