再次剖宫产临床研究  

Clinical Study of Cesarean Section

作　　者：刘占茹 LIU Zhan-ru(The People＇s Hospital of Suning County,Cangzhou,Hebei,06235)

机构地区：[1]河北省肃宁县人民医院,河北沧州062350

出　　处：《智慧健康》2018年第16期48-49,共2页Smart Healthcare

摘　　要：目的探究疤痕子宫产妇再次剖宫产的临床效果与特征。方法选择1230例疤痕子宫产妇再次剖宫产对象,且通过纳入标准均判定为再次剖宫产产妇,并对抽取的再次剖宫产产妇分为研究、对照两组各630例与600例,对照组的600例再次剖宫产对象应用传统的剖宫产方式;研究组则应用改良后的剖宫产手术(心室腹壁横切口手术),观察并分析两组疤痕子宫产妇再次剖宫产对象选择不同的剖宫产方法的效果与特征。结果抽取的两组疤痕子宫产妇再次剖宫产对象常规剖宫产术与改良剖宫产术后结果显示,研究组产妇改良剖宫产术后手术时间、术中出血量、娩出胎儿时间等指标明显优于对照组。结论针对再次接受剖宫产的瘢痕子宫产妇而言,需要明确其剖宫产各项指标选择改良后的剖宫产术进行治疗,降低其他不良反应的发生,值得推荐。Objective To explore the clinical effects and characteristics of recurrent cesarean section in the uterus with scars. Methods 1230 cesarean section women with scar uterus were selected, and by the inclusion criteria were determined as cesarean section again, the cesarean section of the cesarean section was also divided into two groups： study and control, with 630 cases and 600 cases respectively. In the control group, 600 patients undergoing cesarean section were treated with traditional cesarean section; The study group was treated with modified cesarean section（vaginal abdominal wall incision）. Observe and analyze the results of the two groups. Select the effect and characteristics of different cesarean section methods. Results The results of routine cesarean section and modified cesarean section for the two groups of uterine cesarean sections after scar extraction from the two groups showed that the study group had improved operative time, blood loss, fetal delivery time, etc. after cesarean section. The indicators were significantly better than the control group. Conclusion For uterine cesarean section women who have undergone caesarean section again, reduce the occurrence of other adverse reactions, it is worth recommending.

关 键 词：疤痕子宫 再次剖宫产 改良剖宫产 出血量 

分 类 号：R719.8[医药卫生—妇产科学]