摘要
目的:分析新式剖腹产及其改进术后腹壁粘连情况,以期改进现有手术方式,减少或减轻术后并发症的发生。方法:采用回顾性分析的方法,对650例新式剖腹产术后再次剖腹产术腹壁粘连情况进行分析。其中450例不缝合腹膜及腹直肌腱划(包括小部分腹直肌)(A组);200例采用缝合腹膜及腹直肌腱划(包括小部分腹直肌)(B组)。比较其腹壁切口粘连情况,均有不同程度的粘连。结果:A组165例(37%)有粘连情况(轻-重);B组42例(21%)有粘连情况(轻),无明显重度粘连。两组腹壁粘连比较差异有显著性(P<0.01)。结论:新式剖腹产术缝合腹膜及腹直肌腱划可以减少腹壁粘连程度;降底再次手术难度。
Objective：To analyze the new caesarean section and the improvement of postoperative abdominal wall adhesions, with a view to improve existing operations, reduce or mitigate the occurrence of postoperative complications. Methods： By retrospective analysis method, New Caesarean section after another 650 cases of caesarean section analysis of abdominal adhesions. Of which 450 cases of non - closure of peritoneum and rectus abdominis tendon （ including small partial rectus abdominis） （ group A） ; 200 cases of closure of peritoneum and rectus abdominis tendon （ including small partial rectus abdominis） （ group B）. Compared with the abdomi- nal wall adhesions, they all have different levels of adhesion. Results： Group A 165 cases （37%） have adhesions （tolerant -se- vere） ; Group B 42 cases （21% ） adhesions （ tolerant ） , no severe adhesions. Abdominal adhesions statistically significant difference between the two groups （P 〈0.01 ）. Conclusions： The new caesarean section technique which sutures peritoneum and rectus abdominis tendon could reduce abdominal adhesions; Lower reoperation difficulty.
出处
《中国民康医学》
2007年第19期853-853,855,共2页
Medical Journal of Chinese People’s Health
关键词
新式剖宫产
改进术
腹壁粘连
New cesarean section
Modified operations
Abdominal wall adhesions
