摘要
目的探讨子宫下段切缘缝合方式对子宫康复及二次妊娠子宫破裂的影响。方法选择初次剖宫产后再次住院分娩的280例产妇作为研究对象,根据初次剖宫产后缝合方式不同分为观察组与对照组,各140例。观察组行双层缝合,对照组行单层缝合,比较两组子宫瘢痕厚度、先兆子宫破裂发生率及盆腔粘连情况。结果观察组子宫瘢痕厚度(3.89±1.12)mm大于对照组(2.43±0.91)mm,先兆子宫破裂发生率3.57%低于对照组14.29%,差异有统计学意义(P<0.05);对照组腹腔粘连情况比观察组严重,差异有统计学意义(P<0.05)。结论剖宫产子宫下段切缘双层缝合更有利于产妇子宫的康复,减少子宫破裂发生,改善腹腔粘连情况。
Objective To investigate the effect of suture way of uterus lower segment on uterus rehabilitation and the uterine rupture from secondary pregnancy.Methods 280 puerpera who hospitalized for secondary delivery after primary cesarean delivery were chosen as research objects,and divided into observation group（140cases）and control group（140cases）according to the different suture methods of primary cesarean delivery.The observation group were given single-layer suture and the control group were given double-layer suture.The incidence of uterus thickness,the incidence of rupture of the uterus and pelvic adhesion were compared in the two groups.
Results The thickness of uterus cicatricial scar of the observation group was thicker than the control group（3.89±1.12 mm/2.43±0.91 mm）, and the incidence of threatened uterine rupture of the observation group was lower than the control group（3.57%/14.29%）.The difference was was statistically significant （ P 〈0.05）. The incidence of abdominal adhesion of the control group was more serious than the observation group .The difference was was statistically significant （ P 〈0.05）.Conclusion The suture way of uterus lower segment makes influence to uterus rehabilitation and secondary uterine rupture.Double-layer suture is propitious to uterus rehabilitation comparing with single-layer suture,reduces uterine suture and abdominal adhesion.
作者
杜金红
DU Jin-hong(Department of Obstetrics and Gynecology, People＇s Hospital of Xiayi County, Xiayi Henan 476400, Chin)
出处
《河南医学高等专科学校学报》
2018年第4期331-333,共3页
Journal of Henan Medical College
关键词
子宫破裂
缝合方式
子宫
二次妊娠
uterine rupture
suture way
uterus
secondary pregnancy
