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目的:对比分析顶侧结合法腹膜外剖宫产与子宫下段剖宫产的优缺点,证实顶侧结合法腹膜外剖宫产术的安全可行性。方法:本院2002年12月～2006年6月行顶侧结合法腹膜外剖宫产的产妇70例与同期行传统的子宫下段剖宫产术的产妇60例进行比较,对比观察两组手术效果及手术并发症。结果:两组剖宫产术式手术总时间有显著性差异(P<0.05),切皮至胎儿娩出时间无显著差异(P>0.05),术后胃肠功能恢复情况及术后病率有显著性差异(P<0.05),新生儿Apgar评分及术中出血量无显著性差异(P>0.05)。结论:顶侧结合法腹膜外剖宫产术组织损伤小,时间短,副作用少,术后胃肠功能恢复快,在提倡微创手术的今天,除非有探查盆、腹腔的要求,采用这种腹膜外剖宫产术还是安全可行的。
OBJECTIVE: To compare and analyze the advantages and disadvantages of cesarean section by means of topside combination with extraperitoneal cesarean section and lower uterine segment, and to confirm the safety and feasibility of topside combined with extraperitoneal cesarean section. Methods: From December 2002 to June 2006, 70 cases of the mother with combined extraperitoneal cesarean section and 60 cases of the mother with the traditional lower uterine cesarean section in the same period were compared. Two groups of patients underwent surgery Effect and surgical complications. Results: There was a significant difference between the two groups in the total time of caesarean section operation (P <0.05), the time from skin incision to fetus was no significant difference (P> 0.05), postoperative gastrointestinal function recovery and postoperative morbidity Significant difference (P <0.05), neonatal Apgar score and intraoperative blood loss no significant difference (P> 0.05). Conclusions: Topside combined extraperitoneal cesarean section has less tissue damage, shorter time, less side effects and faster recovery of postoperative gastrointestinal function. In the promotion of minimally invasive surgery today, unless it is necessary to explore the pelvis and abdominal cavity, Extraperitoneal cesarean section is still safe and feasible.