首次剖宫产子宫缝合方法对再次妊娠的影响

Effect of uterine suture method for first caesarean section on re-pregnancy

目的 探讨首次剖宫产子宫缝合方法对再次妊娠的影响.方法 对2015年1月-2020年12月首次及二次剖宫产均在北京市顺义区医院剖宫产分娩产妇300例的临床资料进行回顾性分析,比较二次剖宫产术中发现子宫下段不全破裂及产后出血发生率与首次剖宫产手术子宫切口缝合方法的相关性.结果 首次剖宫产子宫切口全层连续锁边缝合再次妊娠后发生子宫下段不全破裂及产后出血率明显高于子宫切口双层连续缝合(P<0.05).结论 首次剖宫产术中子宫切口采用双层连续缝合优于全层连续锁边缝合,并发症减少,有利于产妇再次妊娠.

Objective To investigate the effect of uterine suture method on re-pregnancy.Methods A retrospective analysis was performed on the clinical data of 300 women who had their first and second cesarean deliveries in our hospital from January 2015 to December 2020,and the correlation between the incidence of incomplete rupture of the lower uterus and postpartum hemorrhage during the second cesarean section and the uterine incision suture method of the first cesarean section were compared.Results The rate of uterine incomplete rupture and postpartum hemorrhage after full-thickness continuous seam suture of uterine incision after pregnancy after the first cesarean section was significantly higher than that of double-layer continuous suture of uterine incision(P<0.05).Conclusion The use of double-layer continuous sutures for uterine incision during the first cesarean section is better than full-thickness continuous locking sutures,which reduces complications and is conducive to re-pregnancy.