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目的 :为探讨巨大胎儿腹膜外剖宫产术 (extraperitoneal cesarean section,EPCS)的临床应用。方法 :用笔者施行的EPCS2 3例与随机抽取同期巨大胎儿子宫下段剖宫产术 40例做对照 ,进行回顾性对比分析。结果 :两组总手术时间、术中出血量、胎儿体重及术后病率差异不显著。切皮至取儿时间 EPCS比下段剖宫产术延长极明显。两组剖宫产儿全部存活 ,均无手术副损伤 ,产妇腹壁切口均 期愈合。母儿平安出院。结论 :巨大胎儿可以作为 EPCS的相对手术指征。
Objective: To investigate the clinical application of giant fetal extraperitoneal cesarean section (EPCS). Methods: Three cases of EPCS2 performed by this author were compared with 40 cases of cesarean section under the fetus of huge fetus in the same period, retrospectively analyzed. Results: The total operation time, intraoperative blood loss, fetal weight and postoperative morbidity differences were not significant. EPCs were significantly more prolonged than the lower cesarean section during skin incision. Two groups of cesarean children all survived, no side effects of surgery, maternal abdominal incision healed. Mother and child safely discharged. Conclusion: A huge fetus can be used as a relative surgical indication for EPCS.