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目的:探讨腹膜外剖宫产的临床应用价值。方法:以100例腹膜外剖宫产为观察组,以同期100例腹膜内剖宫产为对照组进行回顾性分析。结果:两种剖宫产术式在手术时间、术中出血量、新生儿评分方面比较,差异无统计学意义,但在术后疼痛、排气时间、抗生素应用时间、住院时间方面,差异有统计学意义。结论:腹膜外剖宫产未进行腹腔操作,不干扰腹腔脏器,术后疼痛轻,胃肠功能恢复快,不会发生肠粘连、肠梗阻,进食早,乳汁分泌早,有利于母乳喂养,操作相对简单并易于掌握,对设备无特殊要求,符合微创的理念,易于推广,临床应用前景广阔。
Objective: To investigate the clinical value of extraperitoneal cesarean section. Methods: One hundred cases of extraperitoneal cesarean section were selected as observation group and 100 cases of intraperitoneal cesarean section as control group were retrospectively analyzed. Results: There was no significant difference in operation time, intraoperative blood loss and neonatal score between the two cesarean sections, but there was no significant difference in postoperative pain, exhaust time, antibiotic application time and hospitalization time Statistical significance. Conclusion: Extraperitoneal cesarean section without intraperitoneal operation, does not interfere with abdominal organs, postoperative pain, rapid recovery of gastrointestinal function, no intestinal adhesion, intestinal obstruction, early eating, early milk secretion, is conducive to breastfeeding, The operation is relatively simple and easy to grasp, no special requirements on the equipment, in line with the concept of minimally invasive, easy to promote, broad clinical application.