腹式横切口与纵切口子宫下段剖宫产术效果比较  

Comparison of the effect of abdominal transverse incision and longitudinal incision of lower uterine cesarean section

作　　者：刘银芝 李英[2] 

机构地区：[1]山东省东明县中医院妇产科,274500 [2]菏泽市立医院妇产科,山东省菏泽274000

出　　处：《中国基层医药》2016年第3期442-445,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的比较腹式横切121与纵切口子宫下段剖宫产术的效果。方法选择2012年12月至2014年1月东明县中医院收治的650例行剖宫产术孕妇作为研究对象，按数字表法随机分为观察组和对照组，其中观察组546例，对照组104例，对照组行腹式纵切口子宫下段剖宫产术，观察组行腹式横切口剖宫产术，比较两组术中出血量、取胎时间、平均手术时间、术后排气恢复时间，新生儿体质量与Apgar评分，以及术后不良反应情况。结果（1）观察组较对照组术中出血量少，平均取胎时间、手术时间及术后排气恢复时间短，两组差异均有统计学意义（t1=5．938，t2=5．427，t3=4．874，t4=6．018，均P〈0．05）；（2）观察组术后疼痛发生率为32．60％，显著低于对照组的55．77％，差异有统计学意义（X2=9．309，P〈0．05）；观察组术中血尿发生率为2．01％，显著低于对照组的6．73％，差异有统计学意义（x2=8．213，P〈0．05）；观察组切口延裂发生率4．03％，显著低于对照组的11．54％，差异有统计学意义（x2=9．309，P〈0．05）；（3）观察组较对照组新生儿的体质量[（3421．4±115．6）g]及Apgar评分[（9．49±0．15）分]均低于对照组（t5=5．129，t6=4．872j均P〈0．05）。结论与纵切口子宫下段剖宫产术相比，腹式横切口剖宫产术临床疗效好，不良反应少，安全可靠，值得临床推广。Objective To investigate the effect of modified abdominal transverse incision and longitudinal incision of lower uterine cesarean section. Methods 50 cases of cesarean section pregnant women were selected from December 2012 to January 2014 in TCM hospital of Dongming. They were divided into the observation group（546 cases） and the control group（ 104 cases） according to the list of numbers. The control group underwent abdominal longitudinal incision of lower uterine cesarean section, while the observation group underwent modified abdominal transverse incision cesarean section. The intraoperative blood loss, tire taking time, average operation time, postoperative exhaust recovery time, neonatal birth weight and Apgar score, and postoperative adverse reaction of the two groups were compared. Results （1）The intranperative blood loss, average fetal time, operation time and postoperative exhaust recovery time of the observation group were shorter than the control group, the differences between the two groups were statistically significant （ t1 = 5. 938, t= = 5. 427, t3 = 4. 874, t4 = 6.018, all P 〈 0.05 ） ; （ 2 ） The postoperative pain occurrence rate in the observation group was 32.60%, which was significantly lower than 55.77% in the control group,the difference was statistically significant （X2 =9. 309,P 〈0. 05）. The hematuria incidence rate of the observation group was 2.01%, which was significantly lower than 6.73% of the control group, the difference was statistically significant （ X2 = 8. 213, P 〈 0.05 ）. The incision extending crack occurrence rate of the observation group was 4. 03% ,which was significantly lower than 11.54% of the control group, the difference was statistically significant （X2 = 9. 309,P 〈 0.05 ）. （3） The neonatal weight [ （3 421.4 ± 115.6 ） g ] and Apgar neonates score [ （9.49 ± 0.15 ）points] of the observation group were lower than the control group,the differences between the two groups were statistically significant （t5 = 5. 129,ts =

关 键 词：剖宫产 改良腹式横切口 腹式纵切口 子宫下段 

分 类 号：R719.8[医药卫生—妇产科学]