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作者研究了1947—1958年721例剖腹产术的结果,并进行了远期追综观察,对子宫体剖腹产、子宫下段剖腹产横切口与踪切口的三种方法进行了评比。作者指出前置胎盘、胎盘早期剥离及心—血管疾患时最多应用子宫体剖腹产术,而狭小骨盆时最多应用子宫下段剖腹产术。术后合并症的发生与手术方法有关:子宫体剖腹产为9.8%,子宫下段剖腹产横切口为23%,而子宫下段剖腹产纵切口为9.3%。破膜后24小时进行剖腹产之合并症较高,宫缩开始后24小时进行剖腹产之合并症较低。子宫下段剖腹产术后子宫旁结缔组织炎为2%(其中横切口为5.2%,纵切口为1.1%);术后血肿为2.6%。手术结果证明子宫下段剖腹产时采取横切口者比纵切口效果差。剖腹产的母体死亡率逐年在降低(0.98%)。其中子宫体剖腹产为2.2%,子宫下段剖腹产横切口与纵切口均为0.4%。母体死亡率的高低与手术方法无关,主要决定于母体的并发症(如胎盘早期剥离、前置胎盘及严重的心——血管疾患)。
The author studied the results of 721 cases of caesarean section from 1947 to 1958, and conducted long-term follow-up observation. The authors compared the three methods of uterine caesarean section, transverse incision and incision of lower uterine caesarean section. The authors point out that placenta previa, placental dissection and heart-vascular disease during the most early application of uterine cesarean section, while the largest narrow pelvis when the lower uterine segment caesarean section. The incidence of postoperative complications and surgical methods: uterine caesarean section 9.8%, transverse incision of the lower uterine caesarean section was 23%, while the lower uterine incision length of caesarean section was 9.3%. 24 hours after rupture of the caesarean section of the complications, contractions 24 hours after the onset of complications of caesarean section is low. Uterine para-caesarean section after cesarean section connective tissue inflammation was 2% (transverse incision was 5.2%, longitudinal incision was 1.1%); postoperative hematoma was 2.6%. Surgical results show that the lower uterine caesarean section to take horizontal incision than the longitudinal incision poor results. Maternal mortality from caesarean section is decreasing year by year (0.98%). Including uterine caesarean section was 2.2%, uterine segment of the transverse incision and longitudinal incision were 0.4%. The level of maternal mortality has nothing to do with the surgical method, mainly due to maternal complications (such as early placental abruption, placenta previa and severe cardio-vascular disease).