简易腹膜外剖宫产234例临床分析  

The clinical analysis of the extraperitioneal cesarean section

作　　者：李怡[1] 牛力春 朱晓明[1] 杨华光[1] 张蓓蕾[1] 尹国武[1] 

机构地区：[1]第四军医大学唐都医院妇产科,西安710038 [2]解放军323医院妇产科

出　　处：《陕西医学杂志》2011年第2期191-193,共3页Shaanxi Medical Journal

摘　　要：目的:探讨简易腹膜外剖宫产术式的临床应用。方法:460例有剖宫产手术指征的孕妇随机分为两组:观察组234例采用简易腹膜外剖宫产术式;对照组226例采用新式子宫下段剖宫产术式。统计两组手术时间、术后恢复排气时间、术后感染、住院时间、新生儿窘迫情况、切皮至新生儿娩出时间等并进行比较分析。结果:观察组术后恢复排气时间13.4±4.5h,对照组22.3±3.4h,两组比较差异有统计学意义(P<0.01);观察组住院天数为5.93±2.8d,对照组为7.56±3.3d,两组比较差异有统计学意义(P<0.01);观察组及对照组在手术时间、术后感染、切皮至胎儿娩出时间、新生儿窒息及新生儿平均体重等方面比较差异无统计学意义。结论:简易腹膜外剖宫产术具有传统腹膜外剖宫产术的优点,优化了手术步骤,解决了传统手术操作复杂,损伤性大的缺点,手术方法简单、膀胱损伤小,术后排气快,进食早,适于临床推广应用。Objective：To study the application of the surgery with cesarean section outside peritoneum.Methods：The data of 234 cases in observation group with the surgery of cesarean section outside peritoneum and 226 cases with uterine lower segmental cesarean section in control group was analyzed comparatively.Results：The two groups in age,the time from a skin incision to the baby delivered,the total operative time and neonatal are compared,there was no significant difference,but postoperative exhaust time,postoperative hospital,there was a significant difference（P0.01）.The extraperitoneal cesarean compared with traditional intraperitoneal cesarean,there were many advantages,such as the exhaust early,eat early,rapid recovery,and so on.Conclusion：There is no abdominal operations,therefore,the simple extraperitoneal cesarean section has postoperative exhaust fast,faster recovery of gastrointestinal function,eating early,no bowel adhesion and bowel abstruction.It is suitable for clinical application.

关 键 词：剖宫产术 病例对照研究 @腹膜外剖宫产 

分 类 号：R719.8[医药卫生—妇产科学]