新式剖宫产术对再次妇科手术的影响  

The Influence of New-style Cesarean Section for Gynecological Surgery Again

作　　者：程会芳[1] 

机构地区：[1]三门峡市中心医院妇科,河南三门峡472000

出　　处：《中外医疗》2015年第10期37-38,共2页China & Foreign Medical Treatment

摘　　要：目的探讨新式剖宫产术对再次妇科手术的影响。方法选取医院既往剖宫产史因子宫肌瘤需行全子宫切除术患者80例作为研究对象,根据剖宫产手术方式将患者分为两组,其中A组40例行新式剖宫产术,B组40例行子宫下段剖官产术,观察子宫全切除术的开腹时间、术中出血量、总手术时间和术后排气时间,记录术后感染率和腹腔粘连程度。结果 A组开腹时间、术中出血量、总手术时间、术后排气时间以及住院时间分别为(7.18±3.05)min、(215.36±75.32)m L、(62.39±12.26)min、(20.59±6.28)h、(6.85±1.28)d均显著高于B组,差异有统计学意义(P<0.05)。A组术后腹腔Ⅱ-Ⅳ级粘连发生率为82.5%显著高于62.5%组,差异有统计学意义(P<0.05)。结论新式剖宫产术较子宫下半段剖宫产手术比,手术时间长,术后腹内粘连率相对较高,医生应根据手术指征采用合适术式。Objective To investigate the influence of new-style cesarean section for gynecological surgery again. Methods 80 patients were selected in the hospital history of cesarean section who were took whole hysterectomy due to uterine fibroids as the research objects, these patients were divided into two groups according to the method of cesarean surgical,A group of 40 patients of whom took new-style cesarean section,group B took lower uterine segment cesarean section,observed the whole hysterectomy of abdominal time, intraoperative blood loss,total operation time and postoperative exhaust time,recorded the degree of postoperative infection and the extent of abdominal adhesion. Results The abdominal time, intraoperative blood loss,total operation time ,postoperative exhaust time and length of hospital stay of group A was respectively （7.18±3.05）min、（215.36±75.32）mL、（62.39±12.26） min、（20.59±6.28）h、（6.85±1.28）d, each was significantly higher than group B,the difference is statistically significant（P＆lt;0.05）. Conclusion compared with lower uterine segment cesarean section,the new-style cesarean section has a longer operation time,postoperative intra-abdominal adhesions is relatively higher,doctors should take proper surgery according to surgical indications.

关 键 词：再次妇科手术 新式剖宫产术 手术时间 粘连程度 

分 类 号：R7[医药卫生—临床医学]