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目的:对疤痕子宫再次剖宫产的临床效果进行研究。方法:选取我院自2014年2月至2015年3月间收治的200例疤痕子宫再次剖宫产的产妇作为研究的主要对象。并将其随机平均分为两组,分别为对照组和实验组,其中实验组采用改良的剖宫产手术,即新式腹壁横切口术进行,而对照组采用传统剖宫产方式。对两组产妇的手术指标以及腹盆腔粘连情况进行对比。结果:实验组产妇腹盆腔的粘连率为39.00%,明显低于对照组的64.00%,并且实验组产妇在手术期间的手术时间、术中的出血量以及进腹到娩出胎儿所用时间都优于对照组,两组之间存在明显临床差异,具有可比性(P<0.05)。结论:疤痕子宫再次剖宫产产妇的各项剖宫产指标需要完全掌握和了解,同时采用改良的剖宫产手术即新式腹壁横切口术进行,对保障产妇以及胎儿的生命安全有着重要的意义。
Objective: To study the clinical effect of cesarean section after scarring. Methods: Selected from our hospital from February 2014 to March 2015 were treated 200 cases of scarring uterine cesarean maternal again as the main object of study. The patients were randomly divided into two groups: control group and experimental group, in which the experimental group adopted modified cesarean section, that is, the new abdominal transverse incision, while the control group adopted the traditional cesarean section. The two groups of maternal surgical indicators and abdominal adhesions were compared. Results: The abdominal adhesions rate in the experimental group was 39.00%, which was significantly lower than that in the control group (64.00%), and the experimental group had better operation time, intraoperative blood loss and time required for infants to deliver the fetus The control group, there are significant clinical differences between the two groups, with comparable (P <0.05). Conclusion: All the cesarean section indexes of scar cesarean cesarean section should be fully mastered and understood. At the same time, the improved cesarean section operation is the new type of abdominal transverse incision, which is of great significance to guarantee the life safety of the pregnant women and the fetus .