子宫瘢痕切除对再次剖宫产产妇的治疗效果  

The Therapeutic Effect of Scarring Hysterectomy on the Parturient With Cesarean Section

作　　者：秦竞霞[1] 蓝夏 李艺英 QIN Jingxia;LAN Xia;LI Yiying(Department of Obstetrics,Foshan Maternal and Child Health Hospital,Foshan Guangdong 528000,Chinia)

机构地区：[1]佛山市妇幼保健院产科,广东佛山528000

出　　处：《中国卫生标准管理》2020年第20期44-46,共3页China Health Standard Management

摘　　要：目的研究对再次剖宫产产妇实施子宫瘢痕切除的治疗效果和对剖宫产切口瘢痕憩室(previous cesarean scar diverticulum,PCSD)、生活质量的影响。方法将2018年7月—2019年6月在本院进行再次剖宫产手术的产妇92例纳入研究样本中,以不同手术方式将其分成试验组和对照组,每组46例患者。对照组在剖宫产术后直接双层连续缝合子宫,试验组在剖宫产术后先进行子宫瘢痕切除,再进行双层连续缝合子宫,对比两组治疗效果、PCSD形成情况以及生活质量评分。结果两组产妇的手术时间、术中出血量、术后血性恶露持续时间以及肛门排气时间均无显著差异(P>0.05);且试验组PCSD形成情况优于对照组(P<0.05);试验组生活质量评分高于对照组(P<0.05)。结论对再次剖宫产产妇实施子宫瘢痕切除能够提高治疗效果,降低PCSD形成风险,提高生活质量。Objective To study the therapeutic effect,PCSD and quality of life of women who underwent hysterectomy.Methods From July 2018 to June 2019,92 cases of parturients who underwent caesarean section in our hospital were included in the study sample.They were divided into experimental group and control group with 46 cases in each group.In the control group,the uterus was sutured directly by double-layer continuous suture after cesarean section,and in the experimental group,the scar was removed first,then the uterus was sutured by double-layer continuous suture after cesarean section.The therapeutic effect,PCSD formation and quality of life scores of the two groups were compared.Results There was no significant difference between the two groups in operation time,intraoperative bleeding volume,postoperative bloody lochia duration and anal exhaust time(P>0.05),and PCSD formation in the experimental group was better than that in the control group(P<0.05),and the quality of life score in the experimental group was higher than that in the control group(P<0.05).Conclusion Hysterectomy can improve the therapeutic effect,reduce the risk of PCSD formation and improve the quality of life.

关 键 词：子宫瘢痕切除 双层连续缝合 再次剖宫产 PCSD 生活质量 治疗效果 

分 类 号：R714[医药卫生—妇产科学]