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为对比新式割宫产术与子宫下段剖宫产术的效果,1997年12月至1998年6月对在枣庄市立医院有剖宫产指征的产妇进行了分组观察.1 资料与方法将住院孕妇随机分为两组.观察组、对照组各61例,两组产妇的年龄、身高、体重、孕产次、孕周、手术指征和麻醉方法等差异均无显著性.观察组采用新式剖宫产术(马秀彦主编新式剖宫术,北京;北京科学技术出版社,1997,11～24,44～5l).对照组采用腹壁横切口子宫下段剖宫产术.2 结果观察组与对照组比较,手术时间与胎儿娩出时间缩短,术中出血量减少,术后持续导尿时间缩短,差异均有高度显著性;术后体温差异无显著性.见表1.两组伤口均在术后4d内拆线,观察61例伤口均为I期愈合;对照组60例伤口I期愈合,1例脂肪液化,但细菌培养未见致病菌.
To compare the new style of cesarean section and the effect of lower uterine segment cesarean section, from December 1997 to June 1998 in Zaozhuang City Hospital cesarean indications of maternal groups were observed.1 Materials and Methods Inpatient The pregnant women were randomly divided into two groups: observation group and control group, with 61 cases in each group.The age, height, weight, maternity time, gestational age, operation indications and anesthesia of the two groups had no significant difference.The observation group adopted the new formula Cesarean section (Ma Xiuyan editor of new cesarean section, Beijing; Beijing Science and Technology Press, 1997,11 ~ 24,44 ~ 5l) .Control group with abdominal wall incision cesarean section of the lower uterine segment .2 results observation group and Compared with the control group, the operation time and the delivery time of the fetus were shortened, the intraoperative blood loss decreased, and the duration of catheterization continued shortened after operation, the differences were highly significant; there was no significant difference in postoperative body temperature. Six days after operation, all the wounds were cured in one phase. Sixty wounds in the control group were healed in one phase and one case was liquefied, but no pathogen was found in the bacterial culture.