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目的 探讨改良式剖宫产术的临床价值。方法 于下腹部两髂前上棘连线下 3～ 4cm或者耻骨联合上 3横指处做横行直切口 ,钝性分离脂肪层及腹直肌 ,横向撕开腹膜 ,剖宫取出胎儿 ,合成Ⅰ号可吸收线单层连续缝合子宫肌层 ,不缝合腹膜 ,连续缝合筋膜及间断全层缝合皮下组织及皮肤。并与同期腹部弧形切口剖宫产术进行比较。结果 改良式手术时间短 ,术中出血量少 ,术后排气时间缩短 ,疼痛轻 ,病率低 ,住院时间短。与对照组比较差异有显著性 (P <0 .0 5 )。结论 改良式剖宫产术手术时间短 ,术后并发症少 ,住院时间短 ,值得临床推广应用
Objective To explore the clinical value of modified cesarean section. Methods In the lower abdomen, two anterior superior iliac spine anastomosis 3 ~ 4cm or pubic symphysis on the 3 cross-finger straight transverse incision, blunt dissection of the fat layer and rectus abdominis, transverse tear the peritoneum, fetus removed fetus, synthesis Ⅰ No. Absorbable monolayer continuous suture myometrium, peritoneal suture, continuous suture fascia and intermittent full-thickness suture subcutaneous tissue and skin. And with the same period abdominal incision cesarean section were compared. Results The modified operation time was short, less blood loss, shorter postoperative exhaust time, less pain, less morbidity and shorter hospital stay. Compared with the control group, the difference was significant (P <0.05). Conclusion The modified cesarean section has short operative time, less postoperative complications and shorter hospital stay, which is worthy of clinical application