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目的对改良式剖宫产术后再次开腹手术的临床价值进行研究。方法 103例再次行开腹剖宫产产妇,根据产妇首次剖宫产术式将其分为对照组(51例)与观察组(52例)。对照组行新式剖宫产,观察组行改良式剖宫产。比较两组的手术效果。结果观察组开腹时间(8.53±2.04)min、开腹出血量(37.12±6.52)ml以及盆腔粘连发生率34.6%均优于对照组(18.39±4.75)min、(54.29±12.29)ml、54.9%(P<0.05)。结论孕妇再次行开腹手术时采取改良式剖宫产术,可明显缩短开腹时间,减少出血量,降低并发症率,可推广。
Objective To study the clinical value of reoperation after modified cesarean section. Methods A total of 103 open cesarean sections were divided into control group (n = 51) and observation group (n = 52) according to the first cesarean section. Control group new cesarean section, observation group improved cesarean section. Comparison of the two groups of surgical results. Results The open time (8.53 ± 2.04) min, open laparotomy (37.12 ± 6.52) ml and pelvic adhesions in observation group were significantly better than those in control group (18.39 ± 4.75) min (54.29 ± 12.29) ml and 54.9 % (P <0.05). Conclusions Pregnant women taking modified cesarean section again after open surgery can significantly shorten the time of laparotomy, reduce the amount of bleeding and reduce the complication rate, which can be promoted.