论文部分内容阅读
目的通过对200例二次剖宫产患者的临床资料进行回顾性分析,探讨第1次剖宫产时不同腹壁切口对再次剖宫产的影响。方法选择兴隆县妇幼保健院2005-2010年二次剖宫产的的病例200例,其中第1次剖宫产为腹壁横切口的100例(A组),第1次剖宫产为腹壁纵切口的100例(B组),对两组孕妇手术开始到胎儿娩出时间、手术总时间、腹腔粘连情况进行比较。结果 A组手术开始到胎儿娩出时间(12.5±3.4)min,手术总时间(58.2±8.4)min,明显多于B组患者的(6.1±2.5)min及(46.8±8.2)min,差异有统计学意义(P<0.05);A组粘连率94%,重度粘连率为39%,明显高于B组的粘连率72%及重度粘连率为16%,差异有统计学意义(P<0.05)。术中出血量及腹壁切口愈合情况差异无统计学意义(P>0.05)。结论腹壁横切口术后切口瘢痕纤细美观的优点,但粘连严重,加大再次手术的困难,如有再次生育要求的妇女,选择腹壁纵切口不失为一种明智的选择。
Objective To retrospectively analyze the clinical data of 200 cases of second cesarean section to investigate the effect of different abdominal incisions on cesarean section at the first cesarean section. Methods 200 cases of second cesarean section were selected in Xinglong Maternal and Child Health Hospital from 2005 to 2010. Among them, the first cesarean section was 100 cases (group A) with abdominal transverse incision. The first cesarean section was abdominal wall longitudinal Incision of 100 cases (B group), the two groups of pregnant women to the time of fetal operation, the total time of operation, abdominal adhesions were compared. Results The time between the start of operation and fetal delivery in group A was (12.5 ± 3.4) min, and the total operation time was (58.2 ± 8.4) min, significantly higher than that in group B (6.1 ± 2.5) and (46.8 ± 8.2) min (P <0.05). The adhesion rate of group A was 94%, the rate of severe adhesion was 39%, which was significantly higher than that of group B (72%) and the rate of severe adhesion was 16% (P <0.05) . Intraoperative bleeding and abdominal incision healing no significant difference (P> 0.05). Conclusion Abdominal wall incision after incision scar aesthetic advantages, but serious adhesion, increase the difficulty of re-operation, if reproductive requirements of women, the choice of longitudinal incision of the abdominal wall may be a wise choice.