改良腹式横切口子宫下段剖宫产术的临床应用价值分析  

Clinical Application Value of Modified Abdominal Transverse Incision Lower Uterine Segment Cesarean Section

作　　者：顾梅桂 GU Meigui(Department of Obstetrics and Gynecology,Tongshan District People′s Hospital,Xuzhou,Jiangsu Province,221000 China)

机构地区：[1]徐州市铜山区人民医院妇产科,江苏徐州221000

出　　处：《系统医学》2022年第18期151-154,163,共5页Systems Medicine

摘　　要：目的浅析子宫下段剖宫产术应用改良腹式横切口的临床价值,以便为日后临床提供可靠参考。方法选取2020年1—12月徐州市铜山区人民医院收治的70例子宫下段剖宫产产妇。根据手术方式的不同分为对照组与研究组,各35例。对照组行纵向切口子宫下段剖宫产术,研究组行改良腹式横切口子宫下段剖宫产术。比较两组产妇手术指标及术后指标、新生儿Apgar评分、并发症发生情况。结果研究组产妇术中出血量(165.67±18.17)mL少于对照组的(238.87±17.62)mL,且手术时间(34.58±4.67)min、取胎时间(6.72±2.25)min、术后排气时间(12.62±3.42)h、首次进食时间(13.18±1.27)h、住院时长(5.28±0.49)d均短于对照组的(50.71±4.73)min、(12.52±2.48)min、(30.37±4.17)h、(24.87±2.58)h、(7.53±0.67)d,差异有统计学意义(t=17.110、14.356、10.247、19.417、24.050、16.036,P<0.05)。研究组新生儿Apgar评分(9.31±0.39)分高于对照组的(8.42±0.67)分,差异有统计学意义(t=6.792,P<0.05)。研究组产妇并发症发生率5.71%(2/35)低于对照组的22.86%(8/35),差异有统计学意义(χ^(2)=4.200,P<0.05)。结论相较于纵向切口子宫下段剖宫产术,改良腹式横切口子宫下段剖宫产术更具有临床应用价值,有助于缩短胎儿娩出时间,促使产妇术后快速康复,提高新生儿Apgar评分,且安全性较高,值得临床推广。Objective To analyze the clinical value of modified abdominal transverse incision and longitudinal incision in lower uterine segment cesarean section,in order to provide a reliable reference for future clinical practice.Methods A total of 70 women with cesarean section in the lower uterine segment who were admitted to the Tongshan District People′s Hospital of Xuzhou City from January to December 2020 were selected.According to different surgical methods,they were divided into control group and study group,35 cases in each.The control group underwent longitudinal incision lower uterine cesarean section,while the study group underwent modified abdominal transverse incision lower uterine cesarean section.The two groups of puerperium′s surgical indicators and postoperative indicators,neonatal Apgar score,complications were compared.Results The intraoperative blood loss in the study group was(165.67±18.17)mL less than that in the control group(238.87±17.62)mL,the operation time was(34.58±4.67)min,the fetal retrieval time was(6.72±2.25)min,the postoperative exhaust time was(12.62±3.42)h,the first eating time was(13.18±1.27)h,and the hospitalization time was(5.28±0.49)d,all were shorter than the control group(50.71±4.73)min,(12.52±2.48)min,(30.37±4.17)h,(24.87±2.58)h,(7.53±0.67)d,and the difference was statistically significant(t=17.110,14.356,10.247,19.417,24.050,16.036,P<0.05).The neonatal Apgar score of the study group(9.31±0.39)points was higher than that of the control group(8.42±0.67)points,and the difference was statistically significant(t=6.792,P<0.05).The incidence of maternal complications in the study group was 5.71%(2/35)lower than that in the control group 22.86%(8/35),and the difference was statistically significant(χ^(2)=4.200,P<0.05).Conclusion Compared with longitudinal incision lower uterine cesarean section,modified abdominal transverse incision lower uterine cesarean section has more clinical application value,which helps to shorten the delivery time of the fetus,promotes rapid po

关 键 词：子宫下段剖宫产术 纵切口 改良腹式横切口 手术指标 APGAR评分 

分 类 号：R719[医药卫生—妇产科学]