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目的:分析剖宫产术子宫下段横切口撕裂发生的原因与治疗措施。方法:对我院2008年1月到2012年1月收治的700例子宫下段横切口剖宫产产妇的病例资料进行回顾性分析。其中70例产妇出现切口撕裂,对子宫切口撕裂原因及相应治疗措施进行总结。结果:有10%的产妇会出现子宫切口撕裂,其中切口撕裂与麻醉效果差、持续性枕后位、子宫下段形成差以及胎儿体重过大以及胎方位胎下露程度有密切关系。结论:剖宫产术子宫切口撕裂是常见并发症术前需对麻醉效果、胎儿大小、胎方位以及子宫下段形成情况和先露下降进行判断,以避免发生剖宫产子宫切口撕裂。
Objective: To analyze the causes and treatment of transverse incision tear in the lower uterine segment of cesarean section. Methods: A retrospective analysis of 700 cases of cesarean section in the lower uterine transverse incision admitted to our hospital from January 2008 to January 2012 was performed. 70 cases of maternal tear incision occurred, the reason of uterine incision and the corresponding treatment measures were summarized. Results: 10% of maternal uterine incision tear, incision tear and anesthetic effect is poor, persistent posterior occipital position, the formation of lower uterine segment and the fetus is too large, and the degree of fetal tire exposure is closely related. Conclusion: Cesarean section is a common complication of uterine incision tear preoperative assessment of anesthesia, fetal size, fetal position and the formation of the lower uterine segment and the first to show the decline in order to avoid the occurrence of cesarean section incision tear.