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目的:探讨不同剖宫产术式对再次剖宫产的影响。方法:随机抽取2007年1月～2009年12月在梅河口市医院再次剖宫产的270例进行回顾分析。以其中第一次横切口新式剖宫产135例为观察组,第一次纵切口子宫下段剖宫产135例为对照组,比较两组术中所见腹腔粘连程度、胎儿娩出时间、手术时间、术中出血量、术后肛门排气时间、住院天数及手术费用。结果:观察组与对照组相比,再次剖宫产术中所见腹腔粘连程度重,胎儿娩出时间长,术中出血量多,差异有显著性(P<0.05);总手术时间、术后肛门排气时间、住院天数、住院费用两组差异无显著性(P>0.05)。结论:横切口新式剖宫产孕妇再次剖宫产时腹壁各层的粘连重、开腹困难、术中出血多。应严格掌握剖宫产指征,必须剖宫产时应慎重选择手术方式。
Objective: To investigate the effect of different caesarean section on cesarean section. Methods: A total of 270 caesarean section patients in Meihekou City Hospital from January 2007 to December 2009 were randomly selected for retrospective analysis. One of the first transverse incision of new cesarean section in 135 cases as the observation group, the first longitudinal incision 135 cases of uterine segment lower uterine segment as control group, compared the two groups showed intraperitoneal adhesions, fetal delivery time, operation time , Intraoperative blood loss, postoperative anal exhaust time, hospitalization days and operation costs. Results: Compared with the control group, the rate of abdominal adhesions observed in the second cesarean section was significantly higher in the observation group than in the control group. The fetus had a long time of delivery and the amount of bleeding during the operation. The difference was significant (P <0.05). The total operation time, Anal exhaust time, hospital days, hospitalization costs were no significant difference between the two groups (P> 0.05). Conclusion: The cross-incision of new cesarean section pregnant women cesarean section again when the abdominal wall adhesion weight, difficulty in opening up, intraoperative bleeding and more. Cesarean section should be strictly controlled indications, cesarean section must be carefully selected surgical methods.