瘢痕子宫再次足月妊娠患者行Pfannenstiel切口式剖宫产术疗效及其对妊娠结局的影响  

Efficacyof Pfannenstiel incision cesarean section and its effect on the pregnancy outcomes of women with history of cesarean section

作　　者：胡俊[1] 胡萍[1] 潘伟[2] HU Jun;HU Ping;PAN Wei(Department of Obstetrics and Gynecology,Xiaogan Hospital Affiliated to Wuhan University of Science and Technology,Xiaogan 432100,Hubei,China;Department of Reproductive Medical Center,Huangshi Central Hospital Affiliated to Hubei Polytechnic University,Edong Healthcare Group,Huangshi 435000,Hubei,China)

机构地区：[1]武汉科技大学附属孝感医院产科,湖北孝感432100 [2]鄂东医疗集团黄石市中心医院(湖北理工学院附属医院)生殖中心,湖北黄石435000

出　　处：《中国性科学》2018年第10期65-67,共3页Chinese Journal of Human Sexuality

基　　金：湖北省黄石市2015年度医药卫生科研立项项目(编号:16)

摘　　要：目的:探讨瘢痕子宫再次足月妊娠患者行Pfannenstiel切口式剖宫产术疗效及对妊娠结局的影响。方法:选取2013年7月至2015年7月武汉科技大学附属孝感医院收治的瘢痕子宫足月妊娠患者160例为研究对象,将其随机分为观察组(行Pfannenstiel切口式剖宫产术,80例)和对照组(新式剖宫产术,80例),比较两组患者围手术期指标、新生儿Apgar评分和术后并发症发生率。结果:观察组患者手术时间长于对照组患者(P <0. 05),两组患者术中失血量、肛门排气时间、术中拔尿管时间比较差异无统计学意义(P>0. 05)。两组新生儿出生1min、5min Apgar评分比较差异无统计学意义(P> 0. 05)。观察组患者盆腔粘连、产褥感染和子宫切除发生率均低于对照组患者(P <0. 05)。结论:Pfannenstiel切口式剖宫产术除了具有新式剖宫产术的优点之外,还具有防止术中盆腹腔粘连、预防产后并发症等优势,值得临床推广应用。Objective： To investigate the efficacy of Pfannenstiel incision cesarean section and its effect on the pregnancy outcomes of women with history of cesarean section. Methods： 180 pregnancy women with cesarean section history in Xiaogan Hospital Affiliated to Wuhan University of Science and Technology from July 2013 to July2015 were selected and randomly divided into observation group（ n = 80） and control group（ n = 80） according to a random number table method. 80 cases in control group were treated with new type cesarean section,and 80 cases in observation group were treated with Pfannenstiel incision cesarean section. The perioperative index,Apgar score and postoperative complication rate were compared between the two groups. Results： The operation time of observation group was longer than that of control group（ P〈0. 05）. There was no statistically significant difference in blood loss,anal exhaust time and intraoperative urinary catheterization between the two groups（ P〉0. 05）. There was no statistically significant difference in Apgar scores between the two groups（ P〉0. 05）. The incidence of pelvic adhesions,puerperal infection and hysterectomy in observation group were lower than these in control group（ P〈0. 05）.Conclusions： Pfannenstiel incision cesarean section,except of the advantages of new cesarean section,can prevent intraoperative pelvic cavity adhesions and postpartum complications with multiple advantages,which is worthy of clinical application.

关 键 词：Pfannenstiel切口式剖宫产术 新式剖宫产术 剖宫产史 

分 类 号：R719.8[医药卫生—妇产科学]