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目的探讨第1次剖宫产时不同手术方式对二次剖宫产的影响。方法对1998年1月至2005年12月期间二次剖宫产病例进行回顾性分析。其中第1次手术为传统子宫下段剖宫产术115例(组1),新式剖宫产组57例(组2),对两组二次手术腹腔粘连程度、术中出血、手术时间、开腹时间与术后病率及术后排气时间等进行比较。结果新式剖宫产组患者与传统子宫下段剖宫产患者相比,腹腔粘连严重,手术时间与开腹时间长,术中出血量多,术后排气时间长,差异有统计学意义(P<0.05);结论新式剖宫产二次手术腹腔粘连严重,术中出血多,手术后恢复差,应严格掌握剖宫产指征,慎重选择第1次手术方式。
Objective To explore the effect of different surgical methods on second cesarean section during the first cesarean section. Methods A retrospective analysis of the second cesarean section between January 1998 and December 2005 was conducted. The first operation included 115 cases (group 1) of traditional lower uterine segment cesarean section and 57 cases of new cesarean section (group 2). The degree of intraperitoneal adhesions, intraoperative bleeding, operation time, open time Abdominal time and postoperative morbidity and postoperative exhaust time were compared. Results The patients in the new cesarean section had severe abdominal adhesions, long operative time and open laparotomy, more intraoperative blood loss and longer postoperative exhaust time than those in the traditional lower uterine cesarean section (P <0.05) .Conclusion The new cesarean section secondary operation of abdominal adhesions serious, intraoperative bleeding and poor recovery after surgery, cesarean section indications should be strictly controlled, the first choice of operation mode carefully.