子宫下段切缘缝合方式对子宫康复及二次妊娠子宫破裂的影响探讨

Effect of Suture of Lower Uterine Margin on Uterine Rehabilitation and Uterine Rupture in Two Pregnancies

目的探究子宫下段切缘缝合方式对子宫康复及二次妊娠子宫破裂的影响。方法选择于2016年6月—2017年6月进入该院妇产科初次剖宫产分娩后再住院的94例产妇为研究主体对象,结合初次剖宫产缝合方式将所有产妇划分为对照组及观察组,每组47例;对照组实行子宫下段切缘单层缝合,观察组实行子宫下段切缘双层缝合,对比2组产妇的子宫瘢痕厚度、盆腔粘连情况及先兆子宫破裂情况。结果经治疗,对照组与观察组3～5 mm、2～3 mm、1～2 mm<1 mm各项指标相比,2组数据对比差异有统计学意义(P<0.05);经治疗,对照组与观察组盆腔粘连及先兆子宫破裂各项指标相比,2组数据对比差异有统计学意义(P<0.05)。结论子宫下段切缘缝合方式直接影响剖宫产后再次妊娠孕妇的子宫正常恢复,甚至存在引发二次妊娠子宫破裂的可能性,而双层缝合能增加瘢痕子宫下段厚度,减轻腹腔粘连情况大大降低先兆子宫破裂发生率。

Objective To explore the effect of suture method of incision margin of lower uterus on uterine rehabilitation and uterine rupture in second pregnancy. Methods From June 2016 to June 2017, 94 parturients who were admitted to our hospital for the first time after cesarean section were selected as the subjects of study. All parturients were divided into control group and observation group, 47 cases in each group. The uterine scar thickness, pelvic adhesion and threatened uterine rupture were compared between the two groups. Results After treatment, the control group and the observation group 3~5 mm, 2~3 mm, 1~2 mm less than 1 millimeter indicators were significantly different, two groups of data were statistically significant(P<0.05);after treatment, the control group and the observation group pelvic adhesion and threatened uterine rupture indicators were significantly different, the number of two groups Statistically significant(P is less than 0.05). Conclusion Lower uterine incision margin suture directly affects the normal recovery of the uterus of pregnant women after cesarean section, and even causes the possibility of uterine rupture of second pregnancy. Doublelayer suture can increase the thickness of the lower uterine segment of scar, reduce abdominal adhesion and greatly reduce the incidence of threatened uterine rupture.