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目的 探讨剖宫产新术式,提高手术安全性。方法 选择有剖宫产指征、无下腹部手术史者1985例,随机分为两组,研究组725例,采用自行设计的改良经腹部子宫下段剖宫产术式;对照组1260例,603例采用传统的经腹腔子宫下段剖宫产术式,657例采用Stark’s剖宫产术式。结果 研究组手术时间、切皮至胎儿娩出时间、术后疼痛时间、肛门排气时间和卧床时间显著短于对照组的两种术式,出血量明显减少,新生儿Apgar评分高,刀口愈合好。结论 改良式剖宫产术能显著提高母婴安全性,术后病率低,操作简单快捷。
Objective To explore new cesarean section and improve the safety of operation. Methods Select cesarean section indications, without history of lower abdominal surgery in 1985 cases were randomly divided into two groups, the study group of 725 cases, the use of self-designed modified abdominal transcervical cesarean section; 1260 cases of control group, 603 For example, the traditional cesarean section of the lower abdominal hysteroscopic segment was used, and 657 cases were treated with Stark’s cesarean section. Results The operation time, skin incision to fetus delivery time, postoperative pain time, anal exhaust time and bed rest time in the study group were significantly shorter than those in the control group, with significant reduction of bleeding, high Apgar score and good incision . Conclusion Modified cesarean section can significantly improve the safety of maternal and infant, postoperative morbidity is low, simple and quick operation.