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目的对两种不同剖宫产手术方式对妇产科患者再次接受手术治疗的影响进行研究。方法 94例剖宫产术后再次接受妇产科手术治疗的患者,其中47例首次接受传统子宫下段剖宫产手术的患者作为对照组,47例首次接受新式改良剖宫产手术的患者作为研究组。对两组患者再次接受妇产科手术治疗期间出血量、术后排气功能恢复时间、手术操作时间、术后出现切口感染的人数、术后发生腹腔粘连的情况进行对比。结果研究组再次接受妇产科手术治疗期间出血量(276.41±10.96)ml少于对照组(312.86±13.27)ml,手术操作时间(47.24±7.62)min和术后排气功能恢复时间(20.96±2.18)h短于对照组(63.20±10.54)min、(27.49±3.25)h,差异均具有统计学意义(P<0.05)。研究组术后发生腹腔粘连程度明显轻于对照组,差异具有统计学意义(P<0.05)。研究组切口感染发生率2.1%低于对照组10.6%,差异具有统计学意义(P<0.05)。结论首次接受新式改良剖宫产手术的产妇在术后再次接受妇产科手术治疗的安全性较高。
Objective To study the effects of two different cesarean sections on the surgical treatment of obstetrics and gynecology patients again. Methods A total of 94 patients undergoing gynecological surgery after cesarean section were recruited. Among them, 47 patients undergoing the first cesarean section under conventional uterine segment surgery served as the control group, and 47 patients who underwent the first modified cesarean section operation were included in the study group. The two groups of patients again accept the obstetrics and gynecology surgery during the bleeding, postoperative exhaust recovery time, operation time, the number of postoperative incision infection, postoperative abdominal adhesions were compared. Results The bleeding volume (276.41 ± 10.96) ml in the obstetrics and gynecology group was less than that in the control group (312.86 ± 13.27) ml, the operative time (47.24 ± 7.62) min and the postoperative functional recovery time (20.96 ± 2.18) h shorter than the control group (63.20 ± 10.54) min, (27.49 ± 3.25) h, the differences were statistically significant (P <0.05). The incidence of abdominal adhesions in the study group was significantly lighter than that in the control group, with statistical significance (P <0.05). The incidence of incisional wound infection in the study group was 2.1% lower than that in the control group (10.6%), the difference was statistically significant (P <0.05). Conclusions For the first time, new mothers who underwent new modified cesarean section were more likely to receive gynecological surgery after surgery.