剖宫产时机与子宫切口憩室形成的相关性研究  

Correlation between different cesarean section timing and formation of uterine incision diverticulum

作　　者：谢洁[1] Xie Jie(Second Department of Obstetrics,Linyi Hospital of Traditional Chinese Medicine,Linyi 276000,China)

机构地区：[1]山东省临沂市中医医院产二科,276000

出　　处：《中国实用医刊》2020年第18期33-35,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨剖宫产时机与子宫切口憩室形成的相关性。方法抽取2018年1月至2019年6月于临沂市中医医院行剖宫产手术的产妇363例,根据产妇行剖宫产手术时宫口扩张情况分组,A组150例产妇宫口开<6 cm且宫颈成熟度(Bishop)评分>6分,B组96例产妇宫口开≥6 cm,C组117例产妇宫口未开且宫颈Bishop评分≤6分。统计子宫切口憩室状况,应用线性回归方程分析剖宫产时机与子宫切口憩室形成的关系。结果 A组子宫切口憩室发生率(2.67%,4/150)低于B组(8.33%,8/96)、C组(10.26%,12/117),差异有统计学意义(P<0.05)。B组和C组憩室肌层厚度小于A组、憩室大小大于A组,C组憩室肌层厚度小于B组、憩室大小大于B组,差异有统计学意义(P<0.05)。相关分析结果示,宫口扩张情况与子宫切口憩室形成相关(憩室肌层厚度β=-0.590、P<0.001,憩室大小β=1.979、P<0.001)。结论不同剖宫产时机与子宫切口憩室形成有一定关系,合理选择剖宫产时机可提高憩室肌层厚度,减小憩室大小。Objective To investigate the correlation between cesarean section timing and the formation of uterine incision diverticulum.Methods A total of 363 parturients who underwent cesarean section in Linyi Hospital of Traditional Chinese Medicine from January 2018 to June 2019 were selected and grouped according to the dilatation of the uterine orifice during the cesarean section,150 cases of group A had uterine opening<6 cm and cervical maturity(Bishop)score>6 points,96 cases of group B with uterine opening≥6 cm,117 cases of group C without opening uterus and cervical Bishop score≤6 points.The status of uterine incision diverticulum was counted,and the linear regression equation was used to analyze the relationship between cesarean section timing and the formation of uterine incision diverticulum.Results The incidence of uterine incision diverticulum in group A(2.67%,4/150)were lower than those in group B(8.33%,8/96)and group C(10.26%,12/117),and the differences were significant(P<0.05).The thickness of the diverticulum muscularis of group B and C were lass than that of group A,the size of diverticulum was greater than that of group A,the thickness of diverticulum of group C was lass than that of group B,and the size of diverticulum was greater than group B,the differences were significant(P<0.05).The results of the correlation analysis showed that the dilation of the uterine orifice was related to the formation of diverticulum in the uterine incision(the thickness of the diverticulum myometriumβ=-0.590,P<0.001,the size of the diverticulumβ=1.979,P<0.001).Conclusions There is a certain relationship between cesarean section timing and the formation of uterine incision diverticulum.The reasonable choice of cesarean section timing can increase the muscle layer thickness of the diverticulum,reduce the size of the diverticulum.

关 键 词：剖宫产 宫口扩张 子宫切口憩室 

分 类 号：R719.8[医药卫生—妇产科学]