论文部分内容阅读
目的：观察评价剖宫产子宫切口单次全层连续缝合的效果。方法：对２０６２例子宫下段剖宫产子宫切口肌层采用单次全层连续缝合，术后观察子宫复旧、阴道出血、术后病率，Ｂ超探查子宫切口愈合情况，部分病例随访２年。结果：术中术后出血６１例，但未发现因缝合所致出血者；晚期出血及子宫切口感染均为０；Ｂ超探测显示子宫复旧良好，切口愈合良好者１９８０例（９６．０２％），子宫切口轻微炎性反应８１例（３．９３％），严重炎性反应伴积液１例（０．０４８％），显著低于文献２．３６％（Ｐ＜０．００１）报道。随访病例无不良体征。结论：子宫切口单次全层连续缝合安全简便，值得推广为常规术式。
Objective: To observe and evaluate the effect of single full-thickness continuous suture of cesarean section. Methods: A total of 2062 cases of uterine incision of the uterine incision myometrium with a single full-thickness continuous suture, postoperative uterine involution, vaginal bleeding, postoperative morbidity, B ultrasound probe uterine incision healing, some cases were followed up for 2 years. Results: Postoperative bleeding in 61 cases, but no bleeding caused by suture; late bleeding and uterine incision infection were 0; B ultrasonography showed good uterine involution, incision healed well in 1980 cases (96.02%) 81 cases (3.93%) had mild uterine incision inflammatory reaction and 1 case (0.048%) severe inflammatory reaction with effusion, which was significantly lower than that reported in literature (2.36%, P <0.001). Follow-up cases no adverse signs. Conclusion: The single full-thickness incision of uterine incision is safe and convenient, which is worth popularizing for routine operation.