剖宫产术中两种不同方式缝合膀胱子宫腹膜返折的临床疗效观察

Cesarean section in the clinical efficacy of two different ways of suturing vesicouterine peritoneum observation

目的:探讨剖宫产术中两种不同方式缝合膀胱子宫腹膜反折的临床疗效。方法:收治剖宫产患者302例,分为观察组和对照组,术中观察组采用连续缝合膀胱子宫腹膜返折,对照组采用包埋式缝合膀胱子宫腹膜返折,比较其术后盆腔痛、性交痛以及再次行剖宫产时盆腔组织粘连情况。结果:对照组术后盆腔痛、性交痛少于观察组,盆腔粘连也轻于观察组。结论:包埋式缝合膀胱子宫腹膜返折可明显减轻盆腔粘连,且术后盆腔痛、性交痛与盆腔粘连息息相关。

Objective:Cesarean explore two different ways of suturing the bladder clinical effects of uterine peritoneal fold. Methods:January 2005~January 2013,randomly selected in 508 cases with cesarean section 302 cases,divided into observation group and the control group,observer group with continuous suture in surgery of bladder endometriosis peritoneal fold,controls the use of embedding suture endometriosis of the bladder the peritoneal fold,compare its postoperative pelvic pain,painful sexual intercourse and pelvic tissue adhesion when the cesarean section again.Results:Postoperative pelvic pain,painful sexual intercourse less than control group observation group,pelvic adhesions is also lighter than observer group Conclusion:Peritoneal fold of embedding suture of bladder endometriosis can significantly reduce pelvic adhesions,postoperative pelvic pain,pain with sexual intercourse and pelvic adhesions are closely related.