摘要
目的研究不同术式剖宫产对产妇的影响。方法组1(50例),皮肤横切口不缝腹膜的新式剖宫产术。组2(48例),皮肤横切口缝合腹膜的常规剖宫产术。组3(36例)皮肤纵切口的腹膜外剖宫产术;3组手术分别进行比较。结果胎儿娩出时间组1<组2<组3(P<0.01),手术时间组1<组2<组3,(P<0.01)。术中出血量组1<组2≈组3,(P<0.01,p>0.05)。术后肛门排气时间组1<组3<组2,(P<0.01)。术后疼痛率组1≈组2<组3(,P>0.05,P<0.01)。术后病率组3<组1<组2(,P<0.01)。切口感染组3<组1≈2(,P<0.01,P>0.05)。术后排尿困难组1<组2<组3(P<0.01),术中膀胱损伤组2<组1<组3(P<0.01)。结论新式剖宫产术具有手术时间短,出血量少,术后肠功能恢复快,疼痛少的特点,值得推广。腹膜外剖宫产术能明显降低术后病率及切口感染率,是剖宫产术的必要补充。
Objective To study the influence of different operational methods of caesarean section on maternity.Methods Group Ⅰ （50 cases）： hypogastrium horizontal incision non-closure peritoneum, The Misgav-ladach-method caesarean section. Group Ⅱ （48 cases）：hypogastrium horizontal incision closure peritoneum, The conventional caesarean section. Group Ⅲ （36 cases）： hypogastrium vertical incision, The extraperitoneal caesarean section. Results A comparative study of the above three groups reveals findings as follows：Time of fetus delivery, Group Ⅰ （Group Ⅱ （Group Ⅲ （P〈0.01）;0perational time, Group Ⅰ（Group Ⅱ （Group Ⅲ （P〈0.01）.Bleeding volume of operation, Group Ⅰ（Group Ⅱ（Group Ⅲ （P〈0. 01, P〉0.05）.Postoperative anus exsufflation, Group Ⅰ （Group Ⅲ （Group Ⅱ （P〈0.01）. Postoperative pains, Group Ⅰ（Group Ⅱ （Group Ⅲ （P〉0.05, P（0.01）. Postoperative morbidity, Group Ⅲ （Group Ⅰ （Group Ⅱ （P〈0.01）.incisional infection, Group Ⅲ （Group Ⅰ（Group Ⅱ （P〈0.01, P〉0.05）. Postoperative dysuria, Group Ⅰ （Group Ⅱ （Group Ⅲ （P〈0.01）.Bladder injury, Group Ⅱ （Group Ⅰ（Group Ⅲ （P〈0. 01）.Conclusions The Misgav-ladach-method caesarean section is featured with short operational time, less bleeding volume during operation, quicker recovery of gastrointestinal tract functions and less pains on patients. The extraperitoneal caesarean section, as a necessary supplement to caesarean delivery, can obviously reduce postoperative morbidity and incisional infection rate.
出处
《国际医药卫生导报》
2006年第17期32-34,共3页
International Medicine and Health Guidance News
关键词
剖宫产
腹膜
Caesarean Section Peritoneum
