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目的：探讨首次剖宫产选择stark术式术对孕妇再次行剖宫产的影响。方法回顾性分析160例再次行剖宫产病例的病历资料。将首次剖宫产术式选择stark术式的患者作为观察组，而将选择传统子宫下段剖宫产术的患者作为对照组，每组均为80例。两组均按原术式再次进行剖宫产术。观察并记录两组再次剖宫产的各项术中及术后的临床指标。结果观察组的开腹时间、术中出血量、重度粘连比率及术后病率均高于对照组，而术后24h肛门排气率低于对照组，组间比较有显著性差异(0.05）。结论首次剖宫产选择stark术式术较选择传统剖宫产手术盆腔粘连更甚，再次剖宫产易引起出血多、恢复时间长等不利因素，首次剖宫产要慎重选择手术方式。“,”Objective To explore the ef ect of stark style cesarean section on cesarean section again.Methods A retrospective analysis of 160 cases of re-cesarean section cases medical records. The first cesarean section stark surgical patients were selected as observation group, and the choice of patients with lower segment cesarean section uterine by tradition as the control group(n=80).Two groups according to the original operation again cesarean section.Observe and record the clinical indexes of two groups of cesarean section of the operation and post operation.Results The observation group open time, amount of bleeding, severe adhesion rate and postoperative morbidity were higher than those in the control group, while the rate of 24h is lower than that in control group after operation of anal exhaust, and significant dif erence between groups ( 0.05).Conclusion First choose cesarean section stark surgical operation than choose traditional cesarean operation pelvic adhesion even more, cesarean section is easy to cause bleeding, long recovery time and adverse factors, cesarean section for the first time to be careful in choosing operation mode.