摘要
目的探讨剖宫产手术中腹腔外缝合子宫切口对产妇的影响及其临床运用价值。方法采用随机对照试验方法,选择303例单胎足月妊娠且无严重妊娠合并症的妇女,随机分为两组,试验组152例,对照组151例。试验组:缝合子宫切口时将子宫置于腹腔外;对照组:缝合时子宫保留在腹腔内。比较两种缝合方式的手术时间,术中、术后24h出血量,胃肠道反应,术后肛门排气时间以及术后发热情况。数据分析采用SPSS 13.0软件。结果两组术中术后出血量无统计学差异(F=1.259,P=0.263)。术后肛门开始排气时间腹腔内缝合组较试验组提前(F=16.83,P=0.000)。术中胃肠道症状对照组多于试验组(P=0.031),手术时间和术后发热则无统计学差异。结论剖宫产术中腹腔内或腹腔外缝合子宫切口其结局无显著差异。腹腔外缝合可作为常规的手术方式应用。
Objective To observe the effect of uterine exteriorization repaired with in situ in caesarean section.Methods 303 women with term singleton pregnancy underwent caesarean section and without severe complication were randomly divided to two groups,including experimental group（152 cases） and control group（152 cases）.Women in experimental group were treated with exteriorization when the uterus was sutured,while the patients of the control group were repaired in situ.The time of operation,the bleeding volume,the gastrointestinal reactions,the time at the postoperative anal exhaust and postoperative fever were observed.Results The blood loss of the two groups was no statistical different.The time at the postoperative anal exhaust of experimental group was short than that of the control group（P0.001）.There were more gastrointestinal symptoms in control group than that of the experiment group（P=0.031）.Conclusions The effect of uterine exteriorization or in situ repair in caesarean section is no significant different.The uterine exteriorization repair can be applied as a routine surgical method.
出处
《西部医学》
2010年第11期2022-2023,共2页
Medical Journal of West China
关键词
剖宫产
子宫切口缝合
腹腔外
腹腔内
Caesarean section
Uterine repair
Exteriorization
In situ
