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目的:分析不同剖宫产术式对再次剖宫产的影响。方法:选取我院2011年4月至2013年4月再次剖宫产的78例产妇为研究对象,对照组产妇39例行传统剖宫产术,实验组产妇39例行新式剖宫产术,对两组手术情况及结果进行比较。结果:实验组产妇术后盆腹腔粘连率为69.23%,对照组粘连率为46.15%,两组比较差异有统计学意义,P<0.05。另外,实验组子宫切口愈合良好率为97.44%,对照组子宫切口愈合良好率为92.31%,两组比较无统计学意义,P>0.05。另外,实验组开腹时间、手术时间及术中出血量明显高于对照组,住院时间却明显低于对照组,差异均有统计学意义,P<0.05。结论:相比传统剖宫产术,新式剖宫产术术后恢复快,住院时间短,但其盆腹腔粘连率高,手术时间更长,根据产妇不同情况选择相应的剖宫产术。
Objective: To analyze the effect of different cesarean section on cesarean section. Methods: Seventy eight maternal women who underwent another cesarean section from April 2011 to April 2013 in our hospital were enrolled in this study. 39 maternal women in the control group underwent traditional cesarean section and 39 maternal women in the experimental group underwent new cesarean section. The two groups of surgical conditions and the results were compared. Results: The postoperative abdominal adhesions rate was 69.23% in the experimental group and 46.15% in the control group. There was significant difference between the two groups (P <0.05). In addition, the healing rate of uterine incision in experimental group was 97.44%, and that in control group was 92.31%. There was no significant difference between the two groups (P> 0.05). In addition, the experimental group laparotomy time, operation time and intraoperative bleeding was significantly higher than the control group, hospitalization was significantly lower than the control group, the difference was statistically significant, P <0.05. Conclusion: Compared with the traditional cesarean section, the new cesarean section has faster recovery and shorter hospital stay. However, the rate of abdominal adhesions is high and the operation time is longer. According to different maternal conditions, the corresponding cesarean section is selected.