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目的:分析158例再次剖宫产术中腹壁及盆腹腔粘连情况.方法:选择改良剖宫产术后再次剖宫产31例(A组)为观察组,新式剖宫产术后再次剖宫产29例(B组),子宫下段剖宫产再次剖宫产98例(C组),B组和C组为对照组,比较三组腹壁、盆腹腔粘连情况.结果:A组31例中只有2例轻度粘连;B组29例中有22例粘连,其中8例为重度粘连;C组98例有50例粘连,均为重度粘连.A组轻度粘连、重度粘连率与B组比较,差异均有统计学意义(P<0.01);A组重度粘连率与C组比较,差异有统计学意义(P<0.01).结论:改良剖宫产术中将壁层腹膜缝合,阻断了腹直肌与子宫切口的粘连,也保留了新式剖宫产的其他优点,特别是不扰乱和损伤膀胱,不给再次剖宫产带来困难,不失为一种好的新式剖宫产术.“,”Objective:To analized the adhesivse condition of secondary abdominal surgery after the different cesarean sec-tions. Methods:A restrospective analysis of the secondary cesarean section was performed. Group A was the improved stark cesarean section (n=31), group B was the stark cesarean section (n=29) and group C was the longitudinal incision cesarean section(n=98). The improved stark cesarean section was compared with stark cesarean section and the longitudinal incision cesarean section in adhesion of abdomen and pelvis. Results:Only 2 cases in group A(n=31) had loose adhesion, 14 cases in group B(n=29) had loose adhesion and 8 in group B had tight adhesion, and 50 cases in group C(n=98) had tight adhe-sion. Adhesion in group A was better than group B and group C,the difference was statistically significant(P<0.01). Conclu-sion:The study shows that the improved stark cesarean section is better than stark cesarean section and the longitudinal in-cision cesarean section in adhesion of abdomen and pelvis. Adhesion is towarted by suturing peritoneum, and the improved stark cesarean section retains the advantages of stark cesarean section.