影响剖宫产子宫切口愈合的相关因素分析  

Impact factors of uterine incision healing after cesarean section

作　　者：陈京亭[1] 

机构地区：[1]安徽省铜陵市人民医院妇产科,安徽铜陵244009

出　　处：《安徽医药》2013年第6期989-991,共3页Anhui Medical and Pharmaceutical Journal

摘　　要：目的再次剖宫产时,分析原子宫切口愈合情况,探讨影响其愈合的相关因素。方法收集疤痕子宫再次剖宫产病例126例,对再次术中所见结合前次手术情况进行临床分析,了解腹腔黏连的程度、子宫切口位置的高低、再次剖宫产间隔时间、前次剖宫产时机、剖宫产术后病率、孕妇的年龄、体重、孕周、胎儿的大小等与子宫切口愈合的相关性。结果子宫切口愈合不良的发生率为27.8%,与腹腔黏连的程度、子宫切口位置的高低、再次剖宫产间隔时间、剖宫产术后病率有关,而与前次剖宫产时机、孕妇的年龄、体重、孕周、胎儿的大小无关。结论对初产妇应严格掌握剖宫产指征,正确选择子宫切口的位置,精细手术操作,对前次剖宫产情况不明、B超检查子宫疤痕厚度<3 mm、剖宫产时间<2年及有剖宫产术后病率者,再次足月妊娠时,最好选择剖宫产,以防子宫破裂,确保母婴安全。Objective To analyze the impact factors of uterine incision healing after repeated cesarean section. Methods 126 cases of scar uterus reoperated were analyzed to collect clinical data including peritoneal adhesion degree, uterine incision position, the second ce- sarean section interval, previous time of cesarean section, postoperative morbidity, maternal age, weight, gestational age, and fetal size. Re- suits The rate of poor healing of uterus incision was 27.8%. The healing was evidently related to intraperitoneal adhesion degree,uter- ine incision position, the second cesarean section interval and postoperative morbidity, but irrelevant to previous time of cesarean section, maternal age, time,weight, gestational age and fetal size. Conclusions The indications for cesarean section must be mastered strictly in those primipara. Certainly, all of them are very important to correct uterine incision location and fine operation. To ensure safety, we think the best choice is cesarean section whichever of the previous cesarean section uninformed, B-mode uhrasonography revealing uterine scar thickness 〈 3 mm, within 2 years after cesarean delivery and cesarean section postoperative morbidity.

关 键 词：子宫切口 剖宫产 影响 

分 类 号：R719.8[医药卫生—妇产科学]