为避免剖宫产术后子宫裂开,我们采用子宫下段切口单层缝合法。经6年766例临床实践,认为有简化手术操作,缩短手术时间,安全有效的优点,现报道如下。临床资料本组766例为1982年11月至1988年12月下段剖宫产术单层缝合子宫的病例。年龄19～42岁,其中用本术式行两次剖宫产者27例,占0.35%。手术适应证的选择均符合剖宫产术适应证的规定。手术方法按常规方法在子宫下段采用横切口(小切口,手法弧形向上拉开),娩出胎儿及其附属物后,用 In order to avoid uterine rupture after cesarean section, we use single-stitched incision of lower uterine segment. After 6 years of 766 cases of clinical practice, that there is a simplified surgical operation, shorten the operation time, safe and effective advantages are reported below. Clinical data The group of 766 cases for the second period of November 1982 to December 1988 cesarean section monolayer suture cases. Aged 19 to 42 years old, of which 27 cases of cesarean section twice with this technique, accounting for 0.35%. The choice of surgical indications are consistent with the provisions of cesarean section indications. Surgical methods according to conventional methods in the lower uterine segment with a transverse incision (small incision, the arc opened upward), after the fetus and its appendages, with