The Misgav Ladach Method剖宫产术的临床比较及术后经阴道超声观察  

The Misgav Ladach Method of cesarean sections with clinical comparison and trans vaginal ultrasonography (TVUS) observation

作　　者：韩凤英[1] 欧阳普友[1] 侯晓霞[1] 

机构地区：[1]解放军第23医院妇产科,新疆乌鲁木齐830006

出　　处：《西北国防医学杂志》2001年第2期142-144,共3页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的 :探讨MisgavLadachMethod(MLM)剖宫产术的特点。方法 :173例符合剖宫产的孕妇 ,随机化分为实验组 (MLM剖宫产组 ) 88例 ;对照组 (传统子宫下段剖宫产组 ) 85例 ,比较两组的各项指标。结果 :实验组比对照组手术总时间、胎儿娩出时间、手术出血量均明显减少 (P <0 .0 5 ) ,术后排气、下床和拆线时间也明显提前 (P <0 .0 5 )。术后 9dTVUS测量比较子宫切口厚度、宫腔前后径 ,前者也明显减少 (P <0 .0 5 )。而膀胱子宫反折部切口血肿发生率 ,两者无明显差异 (P >0 .0 5 )。结论 :MLM术式简单 ,手术时间短 ,出血少 ,损伤轻 ,并发症低 ,康复快 ,值得临床推广。Objective:To approach the characteristics of the Misgav Ladach Method of cesarean sections. Methods:Multiple indexes were compared between Misga v Ladach Method of cesarean sections in randomized 88 cases (observed group ) an d traditional lower segment sections in 85 cases (control group). Results: Statistical analysis showed that the observed group was obviously decreased than control group in operation time (P<0.05), time from incision skin to take f etus (P<0.05), bleeding amount (P<0.05), postoperative vo. vent time ( P<0.05), getting out of bed time (P<0.05), stitch removing time (P <0.05), uterus incision thickness (P<0.05), the cavity diameter of corp us uterus from anterior to posterior (P<0.05). Conclusion:The Misgav Ladach Method of cesarean sect ion can decrease operation time , bleeding amount and tissue injury, and simplif y the operation process ,reduce the recovery time and stitch removing time.

关 键 词：MLM剖宫产术 经阴道超声 TVUS 分娩并发症 

分 类 号：R719.82[医药卫生—妇产科学]