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目的:观察改良子宫下段横切口双层缝合为单层缝合,是否缩短手术时间。方法:将510例初次剖宫产产妇分为观察组及对照组,并分别于产后42、60及90天行B超检查。结果:(1)观察组平均手术时间(43.84±4.73)分,比对照组(51.09±4.85)分短(P<0.01)。(2)术后病率观察组为1.5%,比对照组7.1%低(P<0.01)。(3)产后42、60及90天B超检查,子宫切口A型愈合情况观察组明显优于对照组。结论:对子宫下段切口整齐,解剖清晰,较薄者,采用单层缝合法,损伤下段组织少,异物少,不影响切缘血液循环,有利于切口愈合。
Objective: To observe the improvement of the lower uterine transverse incision double-layer suture for the single-layer suture, whether to shorten the operation time. Methods: 510 cases of first-time cesarean section were divided into observation group and control group. B-ultrasound was performed on the days 42, 60 and 90 postpartum. Results: (1) The mean operative time in the observation group was 43.84 ± 4.73, shorter than that in the control group (51.09 ± 4.85) (P <0.01). (2) The postoperative morbidity rate in observation group was 1.5%, which was lower than 7.1% in control group (P <0.01). (3) 42,60 and 90 days postpartum B-ultrasound, uterine incision type A healing was significantly better than the control group. Conclusion: The lower uterine incision neat, anatomical clear, thin, single layer suture method, lower tissue damage less foreign body, does not affect the marginal blood circulation, is conducive to incision healing.