运用周氏剖宫产术子宫下段切口100例分析  

Analysis of High Incisions in Treating 100 Cases by Lower Uterine Segment of Zhou's Caesarean Birth

作　　者：姚瑞萍 胡秀平 党丽萍 

机构地区：[1]洛阳市妇幼保健院,河南洛阳471000 [2]洛阳轴承集团公司总医院,河南洛阳471003

出　　处：《洛阳医专学报》2002年第1期20-21,共2页Journal of Luoyang Medical College

摘　　要：目的　运用周氏剖宫产改变子宫下段切口位置观察娩头情况 ,以满足新生儿高Apgar评分。方法　选择浆膜线下约 2cm ,表面没有血管覆盖之处 ,在峡部形成的下段高位切口 ,约在传统切口之上 6～ 10cm。结果　周氏剖宫产术与传统式横切口剖宫产术娩头困难及Apgar评分有显著差异 (P <0 0 5 ) ,并且损伤两侧血管的百分率较低 ,出血少 ,不易产生血肿。结论　采用周氏剖宫产术不损伤子宫切口便于娩头 ,满足高评分 ,降低新生儿窒息率。Objective To observe whether the heads laboring meets the high Apgar Score,and to meet the requirement of injury to uterine incisions. Methods To choose an area which is not covered with blood vessels,2cm under the serous coat,and about 6～10cm above the traditional incision. Results There was a significant difference between Zhou's Caesarean Birth and traditional transverse incision caesarean birth either in the difficulty of heads laboring or in Apgar Score(P<0.05).The injury rates of blood vessels,bloodless and blood tumor were rather low. Conclusion The application of high incision of lower uterine segment is a good method to make the heads laboring more easily,to protect blood vessels,to lower the asphyxia rate of infants and safely guard the health of mothers and infants.

关 键 词：剖宫产 子宫下段切口 娩头 周氏剖宫产术 

分 类 号：R719.8[医药卫生—妇产科学]