2次下腹横切口剖宫产术36例临床分析  

Analyze of 36 caesarean cases with lower abdorminal transverse section for the second time

作　　者：李伟宏[1] 郭宇[2] 

机构地区：[1]海南医学院附属医院妇产科,海南海口570102 [2]海南医学院解剖学教研室,海南海口571101

出　　处：《海南医学院学报》2009年第12期1539-1540,1544,共3页Journal of Hainan Medical University

基　　金：海南医学院科研基金资助学报项目(0020090264)~~

摘　　要：目的:探讨下腹横切口剖宫产术2次手术的临床特点。方法:回顾性分析2008年全年2次下腹横切口剖宫产病例36例与同期非疤痕子宫剖宫产病例36例临床资料,比较两组开腹至胎儿娩出时间。结果:2次剖宫产组从开腹至胎儿娩出时间明显长于对照组,差异有统计学意义(P<0.01)。结论:下腹横切口2次手术入腹困难的主要原因之一是筋膜层与腹直肌及腹膜间的粘连所致。Objective：To investigate the characters of the second caesarean with lower abdominal transverse section. Methods： Retrospectively analyzed clinic data of 36 cases with caesarean for the second time and 36 cases with non scarred caesarean at the same stage. Compared the duration from opening abdomen to delivery. Results： The duration time length from the start of the operation to delivery was significatnly longer in secondary caesarean comparing with the first caesarean（P〈0.01）.Conclusions： Adhesion among fascia, rectus abdominis muscles and peritonieun is one main cause for the difficulty in opening abdomen during secondary caesarean with lower abdorminal transverse section.

关 键 词：剖宫产术 再 粘连 胎儿娩出 下腹横切口 

分 类 号：R714.44[医药卫生—妇产科学]