再改良新式剖宫产术预防下腹壁横切口综合征等并发症的效果研究  

Study on the efficacy of re-modified new-style cesarean section for prevention of complications as abdominal wall transverse incisional syndrome

作　　者：李运莲 李华[1] LI Yun-lian;LI Hua(Department of Obstetrics and Gynecology, The People's Hospital of GanYu district in Lianyungang, Lianyungang, Jiangsu 222100, China.)

机构地区：[1]江苏省连云港市赣榆区人民医院妇产科,江苏连云港222100

出　　处：《临床和实验医学杂志》2017年第23期2358-2361,共4页Journal of Clinical and Experimental Medicine

摘　　要：目的观察应用再改良新式剖宫产术预防下腹壁横切口综合征等并发症的临床效果。方法选取2013年12月至2014年12月进行新式剖宫产术分娩的74例产妇,随机分为对照组和观察组各37例,对照组患者应用改良新式剖宫产术治疗,观察组给予再改良新式剖宫产术治疗。观察两组患者手术时间、术中出血量、术中不良反应发生情况及术后恢复情况,并随访观察两年,对比分析两组患者子宫内膜异位症及腹壁横切口综合征发生情况。结果观察者患者手术时间及术中出血量明显少于对照组(P<0.05),治疗过程中产褥病率、娩头困难、胎儿窒息、切口延裂的发生率明显低于对照组(P<0.05),两组患者术后排气时间比较,差异无统计学意义(P>0.05)。观察组子宫内膜异位症、腹壁横切口综合征发生率明显低于对照组(P<0.05)。结论应用再改良新式剖宫产术可明显缩短术后恢复时间,减少术中及术后并发症发生,可在临床推广应用。ObjectiveTo observe the efficacy of clinical application of improved new-style cesarean section for prevention of complications as abdominal wall transverse incision syndrome etc.MethodsA total of74patients with improved new-style cesarean section for delivery in this hospital during December2013to December2014were randomly devided into control group and observation group,each group with37cases according to random number table method.Patients in control group were applied with improved new-type cesarean section,and patients in observation group were applied with remodified new style cesarean section.The operating time,amount of intraoperative blood loss and rates of intraoperative and postoperative adverse reactions were observed and followed-up for two years.The comparative analysis in patients of these two groups with incidence of endometriosis and abdominal wall transverse incision syndrome had been observed and compared.ResultsThe operating time and amount of blood loss during operation in patients of observation group were significantly less than those of patients in control group(P<0.05).The incidence rates of puerperalism,difficulty in delivery of the head of neonates,fetal reperatory distress and delayed cracking of incision in patients of observation group were significantly lower than those of patients in control group(P<0.05).In comparison with postoperative exhausting time in patients of these2groups,the difference was not statistically significant(P>0.05).The incidence rates of endometriosis and transverse incision syndrome in patients of observation group were significantly lower than those of patients in control group(P<0.05).ConclusionThe clinical application of improved new-style cesarean section can obviously shorten the postoperative recovery period,reduce intraoperative and postoperative complications,therefore it can be popularized forclinical application.

关 键 词：再改良新式剖宫产术 并发症 下腹壁横切口综合征 预防 

分 类 号：R719.8[医药卫生—妇产科学]