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目的比较两种剖宫产手术方式对再次剖宫产手术的影响。方法选取2010-2012年我院再次剖宫产孕妇196例,行改良式剖宫产术后再次剖宫产者103例作为观察组,行传统式剖宫产术后再次剖宫产者93例作为对照组。观察两组孕妇手术总时间、切皮到胎头娩出时间、术中出血量、住院天数、盆腔粘连及手术疼痛情况。结果观察组手术总时间、切皮到胎头娩出时间、术中出血量及住院天数均明显优于对照组(P<0.05),粘连发生率明显低于对照组(P<0.05),术后疼痛发生率明显轻于对照组(P<0.05)。结论改良式剖宫产与传统剖宫产手术相比,手术粘连发生率低、再次手术需时短、横切口美观、术中出血量少且术后疼痛发生率低,对于剖宫产术后再次妊娠产妇如具备剖宫产指征者,建议采用。
Objective To compare the effects of two cesarean sections on cesarean section. Methods A total of 196 pregnant women undergoing cesarean section in our hospital from 2010 to 2012 were enrolled. A total of 103 cesarean sections after modified cesarean section were selected as the observation group. 93 cases of cesarean section after traditional cesarean section As a control group. The total time of operation of the two groups of pregnant women was observed, the time from the incision to the birth of the fetal head, the amount of bleeding during the operation, the days of hospitalization, the pelvic adhesions and the pain of operation. Results The total operation time, incision to fetal head delivery time, intraoperative blood loss and hospitalization days in the observation group were significantly better than those in the control group (P <0.05). The incidence of adhesion was significantly lower than that in the control group (P <0.05) The incidence of pain was significantly lower than that of the control group (P <0.05). Conclusion Compared with the traditional cesarean section, the improved cesarean section has a lower incidence of surgical adhesions, shorter operation time, superior transverse incision, less intraoperative blood loss and lower postoperative pain rate. After cesarean section Pregnant women, such as pregnancy with cesarean indications, it is recommended.