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目的探讨改良新式剖宫产术、新式剖宫产术对再次手术的影响,评价两种剖宫产术后再次剖宫产的临床疗效。方法对需二次剖宫产患者84例进行回顾性分析,44例首次手术主要为新式剖宫产术作为对照组,40例首次手术方式为改良新式剖宫手术作为观察组。对两组二次手术开腹时间、手术时间、术中失血量及腹腔粘连程度进行比较。结果两组患者开腹时间、手术时间、术中出血量及腹腔粘连程度对比差异具有统计学意义(P<0.05)。结论改良新式剖宫产术能有效减少开腹时间、手术时间、术中出血量,减轻腹腔粘连,减少了手术难度与风险。
Objective To explore the effect of modified cesarean section and new cesarean section on reoperation and evaluate the clinical effect of cesarean section after two cesarean sections. Methods 84 cases of secondary cesarean section were retrospectively analyzed. The first operation of 44 cases was the new cesarean section as the control group, and the first 40 cases were modified as the new cesarean section as the observation group. The two groups of open surgery time, operation time, intraoperative blood loss and abdominal adhesions were compared. Results The open time, operative time, intraoperative blood loss and the degree of abdominal adhesions in the two groups were significantly different (P <0.05). Conclusion Improved cesarean section can effectively reduce the laparotomy time, operation time, intraoperative blood loss, reduce abdominal adhesions, reducing the difficulty and risk of surgery.