改良新式剖宫产对再次剖宫产腹腔粘连的影响  

Study on Abdominal Adhesions After Cesarean Section

作　　者：甘韫喆 GAN Yunzhe(Suzhou Wujiang District Hospital of Traditional Chinese Medicine,Suzhou,Jiangsu 215221,China)

机构地区：[1]苏州市吴江区中医医院,江苏苏州215221

出　　处：《大医生》2019年第18期39-40,共2页Doctor

摘　　要：目的探讨改良新式剖宫产对再次剖宫产腹腔粘连的影响效果。方法选取苏州市吴江区中医医院2017年1月至2018年12月收治的60例再次剖宫产患者,采用信封法分为两组,比较两组术后24 h内排气例数;手术时间、术中总出血、娩出胎儿的时间、住院时间;腹腔粘连发生率。结果改良新式剖宫产组术后24 h内排气患者21例(70.00%),传统剖宫产组15例(50.00%,P<0.05)。改良新式剖宫产组手术时间、术中总出血、娩出胎儿的时间、住院时间优于传统剖宫产组(P<0.05)。改良新式剖宫产组发生腹腔粘连2例(6.67%),显著低于传统剖宫产组(12例,40.00%,P<0.05)。结论再次剖宫产患者实施改良新式剖宫产效果确切,可减少腹腔粘连的发生。Objective To investigate the effect of modified new cesarean section on abdominal adhesion.Methods A total of 60 patients admitted to Suzhou Wujiang District Hospital of Traditional Chinese Medicine from January 2017 to December 2018 were randomly divided into two groups.The number of exhausting within 24 h after operation time of operation,total bleeding during operation,time of delivery of fetus,time of hospitalization;incidence of abdominal adhesions were compared between groups.Results Totally 21 cases(70.00%)of the modified cesarean section group and 15 cases(50.00%,P<0.05)of the traditional cesarean section group exhausted within 24 h after operation.The operation time,total bleeding during operation,delivery time and hospitalization time of the modified cesarean section group were better than those of the traditional cesarean section group(P<0.05).Abdominal adhesion occurred in 2 cases(6.67%)in the modified cesarean section group,which was significantly lower than that in the traditional cesarean section group(12 cases,40.00%,P<0.05).Conclusion The new modified cesarean section is effective and can reduce the occurrence of abdominal adhesion.

关 键 词：再次剖宫产 腹腔粘连 效果 

分 类 号：R71[医药卫生—妇产科学]