改良内侧面连续缝合修补子宫薄弱区在瘢痕子宫再次妊娠产妇剖宫产术中的应用研究

Application of Modified Medial and Lateral Continuous Suture to Repair Uterine Weak Area in Caesarean Section of Women with Second Pregnancy of Scarred Uterus

目的:分析改良内侧面连续缝合修补子宫薄弱区在瘢痕子宫再次妊娠产妇剖宫产术中的应用效果。方法:选取2021年5月—2023年1月天水市第一人民医院产科收治的瘢痕子宫再次妊娠产妇70例作为研究对象,随机分为对照组(传统修补术)和观察组(改良内侧面连续缝合修补子宫薄弱区干预),各35例。比较两组手术情况、修补有效率、并发症发生率。结果:观察组术中出血量低于对照组,手术时间、住院时间、膀胱自主功能恢复时间短于对照组,差异有统计学意义(P<0.001);观察组修补有效率高于对照组,差异有统计学意义(P=0.009);观察组并发症发生率低于对照组,差异有统计学意义(P<0.001)。结论:改良内侧面连续缝合修补子宫薄弱区在瘢痕子宫再次妊娠产妇剖宫产术中的应用效果确切,可减少术中出血量、手术时间短,促进产妇恢复,修补有效率高,应用安全性较高。

Objective:To analyze the application effect of modified internal and lateral continuous suture to repair uterine weak area in caesarean section of women with second pregnancy of scarred uterus.Methods:Seventy women with second pregnancy with scarred uterus admitted to the Department of Obstetrics and Gynecology,Tianshui First People's Hospital from May 2021 to January 2023 were selected as the study objects,and randomly divided into the control group(traditional repair)and the observation group(improved medial and lateral continuous suture to repair the weak area of the uterus),with thirty-five cases each.The operation,repair efficiency and complication rate of the two groups were compared.Results:The intraoperative blood loss in the observation group was lower than that in the control group,and the operation time,hospital stay and recovery time of bladder autonomous function were shorter than that in the control group,the difference was statistically significant(P<0.001);the repair efficiency of the observation group was higher than that of the control group,the difference was statistically significant(P=0.009);the complication rate of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.001).Conclusion:The application of modified internal and lateral continuous suture to repair the weak area of uterus in caesarean section of women with second pregnancy with scarred uterus is effective,can reduce the amount of intraoperative blood loss,shorten the operation time,promote the recovery of women,and have high repair efficiency and application safety.