不同手术方式对瘢痕子宫再次妊娠分娩产妇临床效果的影响  

Influence on clinical effect of different surgical methods for the pregnant women with scar uterus undergoing second pregnancy delivery

作　　者：肖玉霞 XIAO Yu-xia(Department of Obstetrics,Maoming People＇s Hospital of Guangdong Province,Maoming 525000,China)

机构地区：[1]广东省茂名市人民医院产科,525000

出　　处：《中国实用医药》2018年第28期85-87,共3页China Practical Medicine

摘　　要：目的分析不同手术方式对瘢痕子宫再次妊娠分娩产妇临床效果的影响。方法 100例瘢痕子宫再次妊娠分娩产妇作为研究对象,依据手术方式不同分为对照组与观察组,各50例。对照组产妇行传统子宫下段剖宫产术,观察组产妇行改良周氏子宫下段剖宫产术,对比两组手术情况以及并发症发生情况。结果观察组住院时间、留置导尿时间、手术开始到娩出胎儿时间、手术时间分别为(5.42±0.22)d、(7.25±4.02)h、(5.42±1.52)min、(60.25±5.08)min,均短于对照组的(8.36±0.79)d、(32.56±5.56)h、(10.25±2.98)min、(78.68±4.98)min,差异具有统计学意义(P<0.05);观察组术中出血量为(215.25±40.02)ml,少于对照组的(389.98±45.25)ml,差异具有统计学意义(P<0.05)。观察组并发症发生率为4.00%,低于对照组的26.00%,差异具有统计学意义(P<0.05)。结论瘢痕子宫再次妊娠分娩产妇行改良周氏子宫下段剖宫产术的临床效果更加理想,能改善产妇手术情况,降低各种并发症发生率,改善新生儿结局,值得临床推广。Objective To analyze the influence on clinical effect of different surgical methods for the pregnant women with scar uterus undergoing second pregnancy delivery. Methods A total of 100 pregnant women with scar uterus undergoing second pregnancy delivery were selected as research objects, they were divided into control group and observation group according to different surgical methods, 50 cases in each group. The control group was given traditional lower uterine cesarean section, the observation group was given modified lower Zhou＇s uterine cesarean section. The surgical condition and occurrence of complications between the two groups were compared. Results The length of stay, indwelling catheterization time, the operation begins to deliver the fetus time and operative time in the observation group were（5.42±0.22） d,（7.25±4.02） h,（5.42±1.52） min and（60.25±5.08） min respectively, which were significantly shorter than（8.36±0.79） d,（32.56±5.56） h,（10.25±2.98） min and（78.68±4.98） min in the control group, the differences were statistically significant（P0.05）. The intraoperative blood loss of the observation group was（215.25±40.02） ml, which was significantly less than（389.98±45.25） ml of the control group, the difference was statistically significant（P0.05）. The incidence of complications in the observation group was 4.00%, which was significantly lower than 26.00% in the control group, the difference was statistically significant（P0.05）. Conclusion The clinical effect of modified Zhou＇s lower uterine cesarean section for pregnant women with scar uterus undergoing second pregnancy delivery is more ideal. It can improve maternal operation situation, reduce the incidence of various complications and improve the outcome of newborns. It is worthy of clinical promotion.

关 键 词：不同手术方式 瘢痕子宫 再次妊娠分娩 产妇 临床效果 

分 类 号：R714.4[医药卫生—妇产科学]