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目的探讨剖宫产手术后腹部粘连情况及对腹式输卵管结扎手术中的影响。方法对有剖宫产手术史500例输卵管结扎术的病例资料进行回顾性分析,其中,新式剖宫产手术史448例和同期传统剖宫手术史52例。结果新式剖宫产组发生腹壁粘连、大网膜与腹壁粘连、子宫与腹壁粘连等的比例显著高于传统剖宫产组(P<0.05)。结论新式剖宫产术后腹壁及盆腹腔粘连率高,对腹式输卵管结扎术有较大影响。
Objective To investigate the situation of abdominal adhesion after cesarean section operation and its effect on abdominal tubal ligation. Methods A retrospective analysis of 500 cases of cesarean section with tubal ligation was performed. Among them, 448 cases of new cesarean section and 52 cases of traditional cesarean section over the same period were included. Results The incidence of abdominal adhesions, adhesions between the omentum and abdominal wall, adhesions of uterus and abdominal wall in the new cesarean section group was significantly higher than that of the traditional cesarean section group (P <0.05). Conclusion The new cesarean section abdominal wall and pelvic adhesions rate, abdominal tubal ligation have a greater impact.