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近来对出生体重小于1,500g和妊娠不足32周的极低体重(VLBW)儿行剖宫产有所增加,以前认为垂直切口无伤害性,以后又认为大多数情况下都可采用低位横切口。最近又发现这种剖宫产手术切口会对母亲在分娩近期和远期带来若干并发症。因此作者对分娩VLBW儿的子宫切口方式与母亲近期并发症发生率之间关系进行了研究。在197例VLBW儿中有115例(58%)行剖宫产,手术指征为胎儿窘迫、产式异常和以前有剖宫产史。根据子宫下段形成情况,其中31例(27%)行低位横切口(LTCS),它适用于顶先露和伸腿臀产式,检查时先露部已入骨盆,先露部两侧与子宫下段肌壁间至少还有2 cm距离;84例(73%)行垂直切口
Recently, there has been an increase in cesarean section for very low birth weight (VLBW) births of less than 1,500 g and less than 32 weeks of gestation. Previously, vertical incisions were considered non-invasive and later considered to be the lowest transverse incision in most cases. Recently, it has also been found that such cesarean section incision will bring some complications to the mother both in the short and long term. Therefore, the author of the childbirth VLBW children’s uterine incision method and the incidence of maternal complications was studied. 115 (58%) of 197 VLBW children underwent cesarean delivery, with fetal distress, idiopathic birth and previous cesarean delivery. According to the formation of the lower uterine segment, 31 cases (27%) underwent low transverse incision (LTCS), which is suitable for the top first deformity and extension hip production, examination revealed the Ministry has been pelvis, the first dew on both sides and the lower uterine segment There were at least 2 cm between muscular walls and 84 (73%) vertical incisions