摘要
目的：探讨剖宫产术后腹腔粘连情况及产生原因，以期通过改良手术方式减少其发生率。方法：对1996年3月～2005年8月于清华大学第一附属医院产科再次行剖宫产术病例140例进行回顾性分析，比较其腹腔粘连情况。结果：新式剖宫产术和子宫下段剖宫产术后发生腹腔粘连者分别34例和70例，发生率分别为94．4％和67．3％，差异有统计学意义（P〈0．01）。前组中腹壁及腹腔广泛粘连发生率较高，与后者比较，差异有统计学意义（P值分别为〈0．05、〈0．01）。而轻度粘连在两组中的发生率相近，差异无统计学意义（P〉0．05）。发生腹腔粘连及粘连程度与术后时间间隔长短无关，并不随着术后时间的延长而发生变化，差异无统计学意义（P〉0．05）。结论：新式剖宫产术后的腹腔粘连发生率较子宫下段剖宫产术高，并且程度较为严重。
Objective： To evaluate the cause of abdomen cavity adhesions after caesarean section, and to reduce the risk of adhesions by improving the operation methods. Methods： 140 cases of abdomen cavity adhesions women who had a second caesarean section between March 1996 to August 2005 were studied retrospectively. Results： 34 cases （94. 4% ） developed abdomen cavity adhesions in the new mode caesarean section group, while 70 cases （67. 3% ） in midline incision group. This difference was statistically significant （P 〈 0. 01 ） . New mode caesarean section was associated with more extensive adhesions of abdomen wall and abdomen cavity than midline incision, which were statistically significant too （ P 〈 0. 05, P 〈0. 01 ） . Less serious degree of adhesions did not differ between the two groups （ P 〉 0. 05） There was no statistically significant association between abdomen cavity adhesions and the time interval of repeat operation. Conclusion： New mode caesarean section is associated with higher rate and more serious degree of abdomen cavity adhesions.
出处
《中国妇幼保健》
CAS
北大核心
2007年第10期1379-1381,共3页
Maternal and Child Health Care of China
关键词
新式剖宫产术
子宫下段剖宫产术
腹腔粘连
New mode caesarean section Midline incision caesarean section abdomen cavity adhesions
