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目的:剖宫产率不断升高,瘢痕子宫再次妊娠也不断增多,本文通过对子宫切口不同缝合,再次剖宫产时切口愈合情况分析,探讨能使子宫切口良好愈合的缝合方法。方法:2005年10月～2010年10月行第1、2次剖宫产的120例产妇的术中及术后恢复资料作回顾性分析。结果:子宫切口的缝合有单层缝合60例(A组)。双层缝合60例(B组),两组手术时间:A组28±13分钟,B组32±23分钟,两组比较差异无统计学意义(P>0.05);术中出血量:A组295±4.98分钟,B组201±5.14分钟,两组比较、差异有统计学意义(P<0.05);再次剖宫产术中发现切口处愈合良好:A组34例(56.67%),B组49例(81.67%),两者比较差异有统计学意义(P<0.01)。结论:子宫切口双层缝合止血效果好、对合对位好、术后愈合好,可减少术后及再次妊娠分娩时并发症。
Objective: The rate of cesarean section is rising continuously, and the uterus scar pregnancy is also increasing. In this paper, different sutures of uterine incision and incision healing after cesarean section are analyzed again to discuss the suture method which can make the uterine incision heal well. Methods: The data of intraoperative and postoperative recovery of 120 maternal women with first and second cesarean section from October 2005 to October 2010 were analyzed retrospectively. Results: Uterine incision suture single-stitched 60 cases (A group). There were 60 cases (group B) with double suture. The operation time was 28 ± 13 minutes in group A and 32 ± 23 minutes in group B, there was no significant difference between the two groups (P> 0.05) 295 ± 4.98 minutes and 201 ± 5.14 minutes in group B. The difference between the two groups was statistically significant (P <0.05). In the second cesarean section, the incision healed well: 34 cases (56.67%) in group A, 49 cases (81.67%), the difference was statistically significant (P <0.01). Conclusion: The effect of double stitching and hemostasis of uterine incision is good, the confrontation is good and the postoperative heal is good, which can reduce the postoperative and re-pregnancy complications.