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目的:比较分析新式剖宫产术与改良新式剖宫术腹腔粘连情况。方法:对2011年7月至2012年7月我院妇产科收治的产妇102例进行回顾性分析。将产随机分为实验组与对照组,对照组产妇行新式剖宫产手术,而实验组产妇行改良新式剖宫产术,比较两组产妇腹腔粘连情况,术中出血量及手术时间。结果:(1)实验组无粘连35例,轻度粘连13例,重度粘连3例,粘连率31.4%;实验组无粘连25例,轻度粘连20例,重度粘连6例,粘连率51.0%。实验组粘连率低与对照组,且差异具有统计学差异(P<0.05)。(2)实验组手术时间为(26.4±5.4)min,术中出血量为(151.8±87.2)ml;对照组手术时间为(41.2±7.6)min,术中出血量(149.3±88.1)min。两组术中出血量比较无统计学差异(P>0.05);实验组手术时间少与对照组,且差异具有统计学(P<0.05)。结论:改良新式剖宫术手术时间短,腹腔粘连率低,效果优,值得在临床上推广使用。
Objective: To compare and analyze the new cesarean section and improve the new cesarean section abdominal adhesion. Methods: From July 2011 to July 2012, 102 cases of maternal obstetrics and gynecology hospital were retrospectively analyzed. The production was randomly divided into experimental group and control group, the control group maternal new cesarean section, while the experimental group maternal line improved new cesarean section, compared the two groups of maternal abdominal adhesions, intraoperative blood loss and operation time. Results: (1) In the experimental group, there were 35 cases without adhesions, 13 cases with mild adhesions, 3 cases with severe adhesions and 31.4% with adhesions. In the experimental group, there were 25 cases without adhesions, 20 cases with mild adhesions, 6 cases with severe adhesions and 51.0% . The adhesion rate of the experimental group was lower than that of the control group, and the difference was statistically significant (P <0.05). (2) The operation time of the experimental group was (26.4 ± 5.4) min and the intraoperative blood loss was (151.8 ± 87.2) ml; the control group was (41.2 ± 7.6) min and the intraoperative blood loss was (149.3 ± 88.1) min. There was no significant difference in bleeding volume between the two groups (P> 0.05). The operation time of the experimental group was less than that of the control group, and the difference was statistically significant (P <0.05). Conclusion: The modified new cesarean section has a short operation time, low intraperitoneal adhesion rate and excellent effect, which is worth to be popularized in clinic.