胎膜早破半腹膜外剖宫产60例临床分析

Semi-extraperitoneal cesarean section in pregnant women with the premature rupture of fetal membranes:a clinical study of 60 cases

目的 探讨胎膜早破孕妇半腹膜外剖宫产与腹膜外及腹膜内剖宫产的优缺点。方法 选择180例有剖宫产指征的孕足月 (3 7～ 42周 )胎膜早破孕妇 ,随机分为三组 ,每组 60例。通过手术时间、术中出血量、产后腹痛等情况进行对比分析。结果 腹膜外剖宫产手术平均时间最长 ,腹膜内平均时间最短 ;术中平均出血量腹膜内最多 ;产后病率腹膜内发生率最高 ;肠功能平均恢复时间以腹膜内最长 ;术后需保留导尿引流时间腹膜外最长 ;切口愈合情况 ,腹膜内切口感染率最高 ;术后腹痛情况 (随诊术后半年 )腹膜内发生率最高。结论 半腹膜外剖宫产术既有腹膜内剖宫产术 。

ObjectiveTo explore the merits and the demerits of the semi-extraperitoneal,extraperitoneal and intraperitone al cesarean section in pregnant women with the premature rupture of fetal membra nes.MethodsA total of 180 cases term pregnancy women(37～42 we eks) with the premature rupture of fetal membranes were divided into three group s randomly,each group were 60 cases.The time of the operation,amount of bleeding during operation were compared between in the three groups.ResultsThe longest averages operational times were found in pregnant women with th e extraperitoneal cesarean section while the shortest in intraperitoneal cesarea n section.The most averages amount of bleeding were found in the interaperitonea l cesarean section group.The highest postpartum disease incidence were in women with intraperitoneal cesarean section.The averages recovery time of the intestin al functions in intraperitoneal cesarean section group was the longest.The longe st time of retention-urethral catheterization drain was found in exteraperitone al cesarean section group.The highest incision infection rate were found intrape ritoneal cesarean section group.The abdominal pain after operation(follow-up 6 month) was the most common in interaperitoneal cesarean section group.Co nclusionThe semi-exteraperitoneal cesarean section has the advantages of both intraperitoneal and extra-peritoneal method,which consisted of shorter operational time.