重复新式剖宫产术77例临床分析  

Repeat the new method cesarean section analysis of 77 cases

作　　者：赵珺[1] 方小红[1] 苏洁琴[1] 

机构地区：[1]池州市第二人民医院,安徽247000

出　　处：《安徽卫生职业技术学院学报》2011年第3期28-29,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:分析新式剖宫产术盆腔粘连及子宫切口愈合情况。方法:对77例重复新式剖宫产术分析,将2005年前未缝合与2005年后缝合腹膜手术比较盆腔粘连情况。再次妊娠距前次手术时间<2年与2～4年及>4年)比较子宫切口愈合情况。结果:未缝合腹膜组盆腔粘连>缝合腹膜组(P<0.01)。再次妊娠距前次手术时间<2年与2～4年者比较,原子宫切口愈合不良发生差异有统计学意义(P<0.05)。2～4年与>4年比较,原子宫切口愈合不良发生差异无统计学意义(P>0.05)。结论:剖宫产时缝合腹膜可减少盆腔粘连。剖宫产再次妊娠少于2年,原子宫切口愈合差,下次妊娠增加与子宫破裂相关风险。Objective：To analyze the cesarean section pelvic adhesions and uterine incision healing.Methods： In this paper 77 cases of repeat cesarean section,the 2005 and 2005 without suture closure after surgery compared pelvic peritoneal adhesions.The operation time from the previous pregnancy again 2 years and 2-4 years and 4 years） to compare the uterine incision healing.Results： No group of pelvic peritoneal adhesions suture suture peritoneum group（P0.01）.The operation time from the previous pregnancy again 2 years 2-4 years were compared with the original uterine incision healing occurred significant difference（P0.05）.2-4 years and 4 years compared to the original occurrence of uterine incision healing was no significant difference（P 0.05）.Conclusion： The cesarean section can be reduced when the closure of peritoneal pelvic adhesions.Cesarean section again less than two years of pregnancy,poor healing of the original uterine incision,the next pregnancy increases the risks associated with uterine rupture.

关 键 词：新式剖宫产术 盆腔粘连 子宫切口 

分 类 号：R574.61[医药卫生—消化系统]