论文部分内容阅读
目的探讨再次剖宫产采取Pfannenstiel切口式剖宫产对娩出胎儿结局的影响。方法对该院2011年3月-2014年3月收治的再次剖宫产产妇68例随机分成两组,对照组予以新式剖宫产术,实验组予以Pfannenstiel切口式剖宫产术,观察两组产妇的临床疗效。结果实验组手术时间(30.82±5.64)min明显大于对照组(23.65±4.52)min,差异有统计学意义(P<0.05);实验组出血量及手术开始至胎儿娩出时间[(260.62±50.23)ml、(5.23±2.13)min]与对照组[(262.31±51.43)ml、(5.02±1.83)min]比较,差异均无统计学意义(P>0.05),且娩头困难率、重度窒息发生率(8.82%、5.88%)与对照组(5.88%,8.82%)亦差异无统计学意义(P>0.05)。在产褥感染、子宫切除、住院费用、住院天数上,实验组均优于对照组,差异均有统计学意义(均P<0.05)。结论 Pfannenstiel切口式剖宫产承袭了新式剖宫产术的优势,且疗效更为显著、切口美观,对再次剖宫产娩出胎儿结局具有重要的影响,值得临床广泛推广与应用。
Objective To investigate the effect of re-cesarean section on the outcome of fetus delivered by Pfannenstiel incision cesarean section. Methods A total of 68 cesarean section women who were admitted to our hospital from March 2011 to March 2014 were randomly divided into two groups. The control group was given new cesarean section. The experimental group was given Pfannenstiel incision cesarean section, and the two groups were observed. Maternal clinical efficacy. Results The operation time (30.82 ± 5.64) min in the experimental group was significantly higher than that in the control group (23.65 ± 4.52) min, the difference was statistically significant (P <0.05); the bleeding volume in the experimental group and the time from the start of operation to the delivery of the fetus [(260.62 ± 50.23) ml, (5.23 ± 2.13) min] compared with the control group [(262.31 ± 51.43) ml, (5.02 ± 1.83) min], and the difference was not statistically significant (P> 0.05) Rates (8.82%, 5.88%) and control group (5.88%, 8.82%) also showed no significant difference (P> 0.05). In puerperal infection, hysterectomy, hospitalization costs, hospitalization days, the experimental group were better than the control group, the differences were statistically significant (P <0.05). Conclusion Pfannenstiel incision cesarean section inherited the advantages of the new cesarean section, and the effect is more significant, beautiful incision on the cesarean delivery of fetal outcome has an important impact, it is widely used in clinical promotion.