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目的:探讨剖宫产术中子宫下段横切口撕裂伤的相关因素及预防治疗的方法。方法:回顾性分析子宫下段剖宫产术1329例病历资料。结果:子宫下段横切口撕裂伤89例(撕裂率6.69%),枕后位,胎先露低于+3,胎儿体重>4000g,瘢痕子宫子宫下段弹性差的,麻醉效果差的,切口撕裂伤的几率明显增加。结论:子宫下段横切口撕裂伤是剖宫产术中常见的并发症,胎先露,胎方位,胎儿体重,子宫下段弹性,麻醉效果,瘢痕子宫,与切口撕裂伤发生有关。
Objective: To investigate the related factors and preventive treatment of transverse incision laceration in the lower uterine segment in cesarean section. Methods: A retrospective analysis of 1329 cases of cesarean section under the uterus history data. Results: There were 89 cases of transverse incision laceration (6.69%) in the lower uterine segment, posterior occipital posterior, fetus exposed less than +3, fetus weight> 4000g, poor uterine segment uterine elasticity, poor anesthetic effect, incision The risk of laceration increased significantly. Conclusion: The transverse incision laceration of the lower uterus is a common complication in cesarean section. The fetal exposure, fetal position, fetal weight, lower uterine segment elasticity, anesthetic effect, scarring uterus are related to incision laceration.