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近10余年来,随着围产医学的发展,剖宫产术已成为处理高危妊娠的重要手段之一.制宫产与术后并发症均有明显上升,其中子宫切口愈合不良也有增加.据国内文献报道子宫切口裂开率为0.4～1.26%左右,我院自1959年1月至1988年12月,31年间,收住分娩产妇50216例,行剖宫产术6449例.其中1例因子宫下段横切口术后2周发生切口裂开大出血,而行腹式子宫全切术.我院切口裂开率为0.13‰,比文献报道为低.这与重视剖宫产技术操作常规与提高手术技术有密切关系.现就剖宫产切口愈合不良的防治讨论如下.
Over the past 10 years, with the development of perinatal medicine, cesarean section has become an important means of dealing with high-risk pregnancy.Magnetic system and postoperative complications have increased significantly, including poor healing of uterine incision also increased.According to Domestic literatures reported uterine incision rupture rate of 0.4 to 1.26%, our hospital from January 1959 to December 1988, 31 years, admitted to delivery of maternity 50216 cases, 6449 cases of cesarean section, of which 1 case due to Lower uterine transverse incision occurred 2 weeks after surgery incision hemorrhage bleeding, and abdominal hysterectomy incision rate of 0.13 ‰, lower than reported in the literature.This emphasis on cesarean section technique operation and improve Surgical techniques are closely related. Now cesarean section incision healing prevention and treatment are discussed below.