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目的 :探讨改进后的剖宫产术式的临床应用价值。方法 :取耻骨联合上 2～ 3cm ,较Pfahnenstie切口位置高 ,即stork横切口约 12～ 14cm ,钝性分离各层 ,进腹腔撒开腹膜 ,缝合子宫时拿出子宫 ,单层连续锁边缝合子宫肌层 ,间断缝合 1～ 3针反折腹膜 ,不缝合腹膜。连续锁边缝合腹直肌前鞘 ,在其两顶端用 7号丝线 8字缝合。皮下用 4号丝线缝合 4针 ,皮肤用 4号可吸收快微荞线连续褥式缝合 ,术后不用拆线。结果 :手术时间明显缩短 ,大约 2 0min ,术中出血量减少 ,在 5 0～ 15 0ml,术后粘连及远期并发症少 ,住院时间缩短 ,平均 5天。结论 :此项手术方式的改进 ,为解决难产提供了优良快捷的手段、降低产妇住院的医疗费用 ,有很大的推广价值。
Objective: To explore the clinical value of improved cesarean section. Methods: The pubic symphysis on the 2 ~ 3cm, Pfahnenstie incision than the high position, that stork transverse incision of about 12 ~ 14cm, blunt dissection of the layers, into the abdominal cavity laparotomy, uterus suture the uterus, single continuous suture Myometrium, intermittent suture 1 to 3-pin peritoneal distension, not peritoneal suture. Continuous locking edge of the rectus abdominis sheath, in its two top with suture No. 7 silk 8 words. Under the skin with No. 4 suture 4 needle, the skin can be absorbed with the No. 4 fast buckwheat line mattress suture, postoperative without stitches. Results: The operative time was significantly shortened, about 20min, intraoperative blood loss decreased in 50 ~ 150ml, postoperative adhesion and long-term complications, shorter hospital stay, an average of 5 days. Conclusion: The improvement of this operation method has provided a good and quick method to solve the problem of dystocia, and reduced the maternal hospitalization cost, which has great promotion value.