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目的:为进一步了解加压治疗对瘢痕素质者二次剖宫产美容缝合切口的影响。方法:将60例瘢痕素质者二次剖宫产时随机分成两组:试验组30例患者采用腹部加压治疗及美容缝合法;对照组30例患者仅采用美容缝合法,于术前及术后12个月进行拍照取样,进行对比分析。结果:试验组术后12个月腹部瘢痕疙瘩治愈率及有效率明显高于对照组,差异有统计学意义(P<0.005)。结论:对于瘢痕素质者,二次剖宫产时采用腹部加压治疗及美容缝合法是可行的,可以减少腹部瘢痕疙瘩的形成。剖宫产术后的低性激素状态是腹部加压治疗的最佳治疗时机。
Objective: To further understand the effect of compression therapy on cosmetic suture of secondary cesarean section of scar quality. Methods: Sixty cases of scar quality secondary cesarean section were randomly divided into two groups: 30 patients in the experimental group were treated with abdominal compression and cosmetic suture method; the control group of 30 patients with cosmetic suture alone, preoperative and surgical Photographed after 12 months of sampling, comparative analysis. Results: The cure rate and effective rate of abdominal keloid in experimental group at 12 months after operation were significantly higher than those in control group (P <0.005). Conclusion: For the scar quality, the second cesarean section with abdominal pressure treatment and cosmetic suture method is feasible, can reduce the formation of keloids in the abdomen. The low-hormonal state after cesarean delivery is the best time to treat abdominal compression.