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我科1983年12月～1989年2月采用半腹膜外剖宫产术57例,效果良好,现分析如下。 临床资料 一、施术率及手术方法:此期间共收治产妇498例,施行子宫体剖宫产术7例,子宫下段剖宫产术53例,全腹膜外剖宫产术2例,半腹膜外剖宫产术57例,后者占总分娩数的11.4％,占总剖宫产术的47.9％。术前常规排空膀胱,留置导尿管,连续硬膜外麻,腹壁切口与其它剖宫产术方法相同。分离腹直肌后,暴露前壁腹膜。沿膀胱上缘约1cm处横行剪开腹膜至膀胱两侧,暴露子宫下段。按子宫下段剖宫产术方法横形剪开子宫下段浆膜,稍向上推离浆膜,
Our department from December 1983 to February 1989 with semi-extraperitoneal cesarean section in 57 cases, the effect is good, are analyzed as follows. Clinical data First, the rate of operation and surgical methods: During this period were treated 498 cases of mothers, the implementation of cesarean section in 7 cases, 53 cases of lower uterine cesarean section, all extraperitoneal cesarean section in 2 cases, 57 cases of external cesarean section, the latter accounted for 11.4% of the total number of deliveries, accounting for 47.9% of the total cesarean section. Preoperative routine emptying the bladder, indwelling catheter, continuous epidural anesthesia, abdominal incision and other cesarean section the same way. After separating the rectus abdominis, expose the anterior wall of the peritoneum. About 1cm along the upper edge of the bladder cut open the peritoneum to both sides of the bladder to expose the lower uterine segment. According to the method of cesarean section of the lower uterine transverse cut open the lower part of the serosa, slightly pushed up from the serosa,