剖宫产手术方式对二次妇产科手术的影响

Influence of Cesarean Section on Secondary Gynecological and Obstetric Operations

目的分析剖宫产手术对二次妇产科手术的影响。方法选取我院2017年8月至2018年8月接收的既往有剖宫产史的二次剖宫产产妇150例。根据产妇手术方式将所有产妇分为为A、B、C 3组,每组50例。A组采取传统子宫下段剖宫产,B组实施新式剖宫产,C组采用改良新式剖宫产。分析不同剖宫产对二次妇产科手术产生的影响。结果相比A组产妇,C组产妇的手术时间最短、术中出血血量最少、切口感染率最低,差异有统计学意义(P<0.05);B、C组产妇的手术时间、术中出血血量、切口感染率相比,差异无统计学意义(P>0.05);A、B组产妇手术时间、术中出血血量、切口感染率相比,差异有统计学意义(P<0.05);3组产妇腹腔粘连情况,A、B组患者最严重,与C组患者相比,差异有统计学意义(P<0.05)。结论相比于传统剖宫产和新式剖宫产手术,改良新式剖宫产手术可明显缩短手术时间,控制产妇产后出血量,并能够降低切口感染率,有效减少腹腔粘连,是一种安全有效的剖宫产方式。

Objective To analyze the effect of cesarean section on secondary gynecological and obstetric operations.Methods From August 2017 to August 2018,150 women with second cesarean section were admitted to our hospital.According to the method of operation,all parturients were divided into three groups A,B and C.There were 50 parturients in all three groups.Group A adopted traditional lower uterine cesarean section,group B adopted new cesarean section,group C adopted improved new cesarean section.To analyze the influence of different cesarean section on the second gynecological and obstetric operation.Results Compared with the parturients in group A,the parturients in group C had the shortest operative time,the least intraoperative blood loss,and the lowest rate of incision infection.The difference was statistically significant(P<0.05);the operative time and intraoperative hemorrhage of the parturients in groups B and C,there was no statistically significant difference between the amount and the infection rate of the incision(P>0.05);compared with the operation time,intraoperative blood loss,and the infection rate of the incision in groups A and B,the difference was statistically significant(P<0.05).Abdominal adhesions in the three groups,the patients in group A and group B were the most serious,compared with the patients in group C,the difference was statistically significant(P<0.05).Conclusion Compared with traditional cesarean section and new type cesarean section,the improved new type of cesarean section can shorten the operation time,control the amount of postpartum hemorrhage,reduce incision infection rate,and effectively reduce abdominal adhesion.It is a safe and effective cesarean section method.