横切口高位子宫下段剖宫产和改良式剖宫产临床效果对比研究  

Comparative study on the clinical effect of cesarean section in lower uterus of transverse incision with high position and modified caesarean section

作　　者：杨晓燕[1] 马丽[1] 赵岩[1] Yang Xiaoyan;Ma Li;Zhao Yan(Department of Obstetrics and Gynecology,the 982th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army,Hebei Tangshan 063000)

机构地区：[1]中国人民解放军联勤保障部队第982医院妇产科,河北唐山063000

出　　处：《中国社区医师》2020年第36期60-61,共2页Chinese Community Doctors

摘　　要：目的:比较横切口高位子宫下段与改良式两种模式剖宫产的临床应用效果。方法:2018年1月-2020年1月收治有剖宫产指征且自愿接受剖宫产的患者100例,根据剖宫产方式不同分为两组。观察组予以改良式剖宫产,对照组采用横切口高位子宫下段剖宫产,比较两组手术时间、手术出血量、切口疼痛时间、住院时间、并发症率与孕妇满意率。结果:与对照组比较,观察组手术时间、切口疼痛时间、住院时间更短,手术出血量更少,并发症率更低,孕妇满意率更高,差异有统计学意义(P<0.05)。结论:与横切口高位子宫下段剖宫产比较,改良式剖宫产可明显减少手术用时,缩短切口疼痛与住院时间,使手术出血量明显减少,降低并发症率,孕妇更满意,值得临床应用。Objective:To compare the clinical application effects of cesarean section in lower uterus of transverse incision with high position and two modes of modified cesarean section.Methods:From January 2018 to January 2020,100 cases pf patients with indications for cesarean section who were enrolled in our hospital and voluntarily accepted cesarean section were selected,they were divided into two groups according to the modes of cesarean section.The observation group was given modified cesarean section.The control group was delivered by cesarean section in lower uterus of transverse incision with high position.The therapeutic effects between the two groups was compared.Results:Compared with the control group,the operative time,incision pain time,length of hospital stays were shorter in the observation group,but the amount of bleeding was less,the incidence of complications was lower,the satisfaction rate of pregnant women was higher,the differences were statistically significant(P<0.05).Conclusion:Compared with the cesarean section in lower uterus of transverse incision with high position,the modified cesarean section can obviously reduce the operative time,shorten the incision pain time and length of hospital stays,reduce the amount of bleeding,reduce the incidence of complications,the pregnant women are more satisfied,it is worthy of clinical application.

关 键 词：横切口高位子宫下段 改良式 不同剖宫产 孕妇满意率 临床效果 

分 类 号：R719.8[医药卫生—妇产科学]