摘要
目的：研究瘢痕子宫产妇行再次剖宫产时，手术切口位置的选择对分娩结局的影响。方法：选取瘢痕子宫再次剖宫产患者60例作为研究对象，随机分为两个不同组别。其中一组手术切1：7选择在原瘢痕处或上方1cm处，另一组切口选择在原瘢痕上方25cm处。观察两组产妇的手术指标，以及母婴并发症情况。结果：试验组产妇术中和术后出血量明显少于对照组；产妇子宫切口撕裂、腹腔粘连、膀胱损伤发生率（3．3％）低于对照组（23．3％）。P〈0．05，差异有统计学意义。结论：对于瘢痕子宫产妇而言，再次剖宫产时将手术切口适当提高、进行改良处理，能够减少产妇出血量和并发症的发生，改善母婴结局，值得推广应用。
Objective： to study the scar uterus maternal line cesarean section again, the choice of incision position effects on birth outcomes. Methods ： select 60 patients with scar uterine cesarean delivery again as the research object, were randomly divided into two different groups. One group of incision choicel cm above the original scar or, another group of 2.5 cm above the selection in the original incision sear. Observe the operation indexes of two groups of maternal, and maternal and infant complications. Results ： Experimental group ChanFuShu and postoperative blood loss less than control group obviously; Maternal uterine incision tear, abdominal cavity adhesion, bladder injury incidence （3.3%）, lower than the control group （23.3%）. P 〈 0. 05, the difference was statistically significant. Conclusion： for the scar uterus maternal, cesarean section again will be modified incision increasing, processing, can reduce the maternal blood loss and morbidity.
出处
《医学与社会》
2015年第B05期69-69,共1页
Medicine and Society
关键词
瘢痕子宫
剖宫产
手术切口
分娩结局
影响
scar uterus
Cesarean section
Surgical incision. Birth outcomes
impact
