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目的探讨剖宫产术子宫切口撕裂的相关因素及预防措施。方法回顾性分析64例子宫切口撕裂患者的临床资料。结果持续性枕后位、持续性枕横位、胎先露≥±3 cm、产妇第二产程、巨大胎儿者子宫切口撕裂发生率明显增加。结论子宫切口撕裂是剖宫产术中常见的并发症,子宫切口撕裂与剖宫产前产程、胎方位、胎先露高低、胎儿体重有关。术前应严密观察产程进展,积极处理,严格掌握手术指征,充分了解胎儿体重、胎方位和胎先露等因素,选择适当子宫切口,采用正确娩头方法,减少剖宫产术并发症的发生。
Objective To investigate the related factors and preventive measures of uterine incision tear after cesarean section. Methods A retrospective analysis of 64 cases of uterine incision in patients with clinical data. Results Persistent posterior occiput posterior, continuous occipital transverse position, fetus revealed ≥ ± 3 cm, the incidence of uterine incision in the second stage of labor, huge fetus was significantly increased. Conclusion The incision of uterine incision is a common complication in cesarean section. The incision of uterine incision is related to the cesarean section, birth position, fetal height, fetal body weight. Preoperative surgical progress should be closely observed and actively handle strict surgical indications, full understanding of fetal weight, fetal position and fetal exposure and other factors, select the appropriate uterine incision, the correct delivery head method to reduce the complications of cesarean section occur.