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目的 :比较与分析横式剖宫产与竖式剖宫产对再次妇科手术患者的影响,为提高产妇的远期生活质量提高数据支持;方法:2013年1月至2015年12月,我院收治的68例剖宫产手术史患者,具再次妇科手术指征,据不同的首次剖宫产切口方式,分为对照组与实验组各34例,对照组曾经采用的竖式剖宫产,实验组曾经采用的横式剖宫产,对比两组患者再次手术情况及腹腔粘连轻重,评估患者恢复情况,统计处理两组患者的数据;结果 :实验组患者再次手术时间更长,出血量更多,与对照组相较有统计学差异;实验组患者再次手术时候,腹腔粘连更严重,术后排气时间晚于对照组,相较对照组有统计学差异;结论 :对于此次再次行妇科手术的患者,首次剖宫产都对此次手术及预后都有影响,其中横式剖宫产较竖式影响更大,这就需要我们在临床严格遵循剖宫产的手术指征行剖宫产手术,并在术前评估产妇的身体状况,选择合适科学有效的手术方式。
OBJECTIVE: To compare and analyze the influence of horizontal cesarean section and vertical cesarean section on patients with gynecological surgery and to improve the data support for improving the long-term quality of life of pregnant women. METHODS: From January 2013 to December 2015, 68 patients admitted to the history of cesarean section surgery, with gynecological indications again, according to different cesarean section incision, divided into control group and experimental group of 34 cases, the control group had used vertical cesarean section, The experimental group had used horizontal cesarean section, comparing the two groups of patients re-operation and the severity of abdominal adhesions, assessment of patient recovery, statistical treatment of two groups of patients data; results: the experimental group of patients re-operation longer, more bleeding Compared with the control group were statistically significant; experimental group of patients reoperation, abdominal adhesions more serious, postoperative exhaust time later than the control group, compared with the control group were statistically significant; Conclusion: For this trip again Gynecological surgery patients, the first cesarean section have an impact on the operation and prognosis, including horizontal cesarean section greater than the vertical, which requires that we strictly follow the clinical cesarean section of the surgical indications Gong surgery, and preoperative assessment Maternal physical condition, select the appropriate scientific and effective surgery.