目的:探讨不一样的剖宫产术式对再次妇产科手术有何影响。方法:对照研究,将我院2011年10月-2013年10月进行再次妇科手术的128例患者按照剖宫产术式分为三组。其中对照组A采用传统的子宫下段剖宫产,对照组B采用的是新式剖宫产,另外就是观察组,观察组采用的是改良后的新式剖宫产。对采用这三种不同的剖宫产术式的患者进行比较,观察这三组患者的手术所用时间、腹腔粘连、手术过程中的出血量、手术完成后排气所用的时长和切口处并发症的发生情况等。结果:观察组的手术所用时间明显比对照组A和B要短(P<0.05);观察组的腹腔粘连的程度明显比对照组A和B的腹腔粘连程度要好(P<0.05),但是比较对照组A和B,两组之间的差异不明显(P>0.05);三组患者在手术过程中的出血量,手术完成后排气所用的时长和切口处并发症的发生情况这些方面的差异不明显(P>0.05)。结论:改良后的新式剖宫产术式比传统的剖宫产以及新式的剖宫产都要好,它有效的减少了再次妇产科手术所用的时间,并且降低了腹腔的粘连程度。相对于其他两种方式,改良后的新式剖宫产术式对再次手术的影响最小,值得临床推广。 Objective: To investigate the impact of different cesarean section on gynecological surgery again. Methods: According to the control study, 128 patients undergoing gynecological surgery in our hospital from October 2011 to October 2013 were divided into three groups according to cesarean section. The control group A used the traditional cesarean section of the lower uterine segment, while the control group B adopted the new cesarean section. In addition, the observation group adopted the modified new cesarean section. The patients undergoing these three different cesarean sections were compared and the duration of surgery, abdominal adhesions, bleeding during the procedure, duration of exhaust after surgery, and complications at the incision were observed The occurrence of such situation. Results: The operation time of the observation group was significantly shorter than that of the control group A and B (P <0.05). The extent of intraperitoneal adhesions in the observation group was significantly better than that of the control group A and B (P <0.05) The difference between the two groups was not significant (P> 0.05) in the control group A and B; the bleeding volume during the operation, the duration of the exhaust after the operation was completed and the incidence of incision complications The difference was not significant (P> 0.05). Conclusion: The new modified cesarean section is better than the traditional cesarean section and the new cesarean section. It effectively reduces the time spent on gynecological surgery and reduces the abdominal adhesions. Compared with the other two methods, the modified new cesarean section has the least impact on reoperation and is worthy of clinical promotion.