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目的探讨子宫下段剖宫产手术细节的改进对二次剖宫产手术结局的影响。方法二次剖宫产患者267例分为两组:A组125例,首次剖宫产术时对子宫下段剖宫产手术细节进行了一些改进;B组142例,首次剖宫产实施常规子宫下段剖宫产。比较两组二次剖宫产手术中情况、腹腔粘连程度和子宫切口愈合情况等相关资料。结果 A组手术时间、术中出血量、腹腔粘连、子宫切口愈合情况方面优于B组(P<0.01)。结论子宫下段剖宫产手术细节的改进有明显缩短手术时间,减少产后出血、腹腔粘连和子宫切口愈合不良等优势。
Objective To investigate the effect of the improvement of operation details of cesarean section in lower uterine segment on the outcome of second cesarean section. Methods 267 cases of second cesarean section were divided into two groups: A group of 125 cases, the first cesarean section of the lower uterine segment of the caesarean section operation details of some improvements; B group 142 cases, the first cesarean section to implement conventional uterus Lower cesarean section. The two groups of secondary cesarean section in the operation, abdominal adhesions and uterine incision healing and other related information. Results The operation time, intraoperative blood loss, abdominal adhesions and uterine incision healing in group A were better than those in group B (P <0.01). Conclusion The improvement of operation details of lower uterine segment cesarean section has the advantages of shortening operative time, reducing postpartum hemorrhage, abdominal adhesions and poor healing of uterine incision.