摘要
目的观察首次腹部横、纵切口剖宫产对再次剖宫产患者盆腹腔粘连程度、术中情况及腹壁瘢痕的影响。方法回顾性分析2017年6月—9月我院收治的100例再次剖宫产产妇的相关资料,按照首次剖宫产切口方式的不同将其分为2组。对照组50例,首次剖宫产选择横切口术式;观察组50例,首次剖宫产选择纵切口术式。对比2组盆腹腔粘连程度、术中情况及腹壁瘢痕情况。结果观察组盆腔粘连程度轻于对照组,差异具有统计学意义(P<0.05);观察组手术时间(43.31±6.34)min、出血量(255.53±32.42)m L及开腹至胎儿娩出时间(7.64±1.31)min均少于对照组,差异具有统计学意义(P<0.05);观察组首次剖宫产后瘢痕愈合情况优于对照组,差异具有统计学意义(P<0.05)。结论首次腹部纵切口剖宫产有助于减少产妇盆腔粘连出现,促进产后瘢痕愈合,且有利于减少再次行剖宫产术时的手术时间及术中出血量,促进胎儿快速娩出。
Objective To observe the effect of first abdominal transverse or longitudinal incision cesarean sectionon abdominal adhesion, intraoperative conditions and abdominal scar in patients with repeated cesarean section. MethodsThe clinical data of 100 pregnant women with repeated cesarean section in our hospital from June 2017 to September2017 were retrospectively analyzed, and they were divided into two groups by incision types of first cesarean section.Control group（n=50）took transverse incision in first cesarean section; while observation group（n=50）took longitudinalincision in first cesarean section.The degree of abdominal adhesion,intraoperative conditions and abdominal scar werecompared between the two groups. Results The degree of abdominal adhesion in observation group was slighter thanthat in control group （P〈0.05） ;The operation time,bleeding volume,duration of open surgery to fetal delivery inobservation group[ （43.31±6.34） min,（255.53±32.42） mL,（7.64±1.31） min] were less than those in control group（P〈0.05） ;The healing of postpartum scar after first cesarean section in observation group was better than that in controlgroup （P〈0.05） .Conclusion First abdominal longitudinal incision cesarean section can reduce abdominal adhesion,promote postpartum scar healing, decrease operation time and intraoperative bleeding volume in repeated cesareansection,accelerate delivery of fetus.
出处
《基层医学论坛》
2018年第5期577-578,共2页
The Medical Forum
基金
吉安市科技计划任务
关键词
剖宫产
横切口
纵切口
腹腔粘连
腹壁瘢痕
Cesarean section Transverse incision Longitudinal incision Abdominal adhesion Abdominalscar
