剖宫产术后影响子宫切口愈合不良的相关因素分析  

Analysis of the risk factors of poor healing of uterus incision after cesarean section

作　　者：党淼[1] 

机构地区：[1]陕西中医学院第二附属医院妇产科,陕西咸阳712000

出　　处：《中国计划生育和妇产科》2015年第11期30-32,共3页Chinese Journal of Family Planning & Gynecotokology

摘　　要：目的分析造成剖宫产术后子宫切口愈合不良的相关危险因素,为临床防止切口愈合不良提供参考依据。方法收集2012年4月至2014年8月陕西中医学院第二附属医院收治的968例剖宫产手术患者的临床资料,其中31例切口愈合不良患者作为观察组,选取同期切口愈合良好患者50例作为对照组,对可能造成切口愈合不良的因素进行对照分析。结果观察组患者的妊娠期高血压、子宫肌瘤、贫血、糖尿病、胎膜早破发生率,既往剖宫产史比例、体质量指数、手术时间与术后失血量均高于对照组,术前抗生素使用比例低于对照组,差异均有统计学意义(P<0.05)。结论肥胖、贫血、糖尿病、产后失血量大、手术时间长、胎膜早破、子宫肌瘤、既往剖宫产史和术前未使用抗生素是造成剖宫产术后子宫切口愈合不良的相关危险因素,实际手术中应注意针对性的进行处理,以减少切口愈合不良的发生概率。Objective To analyze the risk factors of poor healing of uterus incision after cesarean section, to provide basis for clinical prevention of uterus poor healing of incision. Methods A total of 968 cases with cesarean section in The Second Affiliated Hospital of Shanxi College of TCM from Apr 2012 to Aug 2014 were selected, including 31 cases with poor healing of incision were selected as observation group, 50 patients with well healing of incision in the same period were selected as control group, the factors may cause poor healing were contrast analyzed. Results The incidence of uterine fibroids, anemia, diabetes, history of previous cesarean delivery, premature rupture of membranes of observation group were higher than control group, the body mass index, operation time and blood loss of observation group were also higher than control group, while the ratio of postoperative preoperative antibiotic use of observation group was lower than control group, the differences were statistically significant （ P 〈 0. 05 ）. Conclusion Obesity, anemia, diabetes, postpartum blood loss, long operation time, gestational hypertension, premature rupture of membranes, uterine fibroids, the history of cesarean section and preoperative lack use of antibiotics are the related risk factors of poor healing of uterus incision after cesarean section, proper measures should be conducted in practical operations, in order to reduce the probability of poor healing of incision.

关 键 词：剖宫产手术 切口愈合不良 危险因素 

分 类 号：R719[医药卫生—妇产科学]