腹壁横切口与纵切口对二次剖宫产术效果比较 |
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引用本文: | 陆桂秋.腹壁横切口与纵切口对二次剖宫产术效果比较[J].中国医学创新,2013(28):49-51. |
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作者姓名: | 陆桂秋 |
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作者单位: | 江苏省苏州市吴中区长桥人民医院 江苏 苏州 225128 |
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摘 要: | 目的:探讨分析对瘢痕子宫行再次剖宫产时腹壁横切口与纵切口的利弊。方法:选择2010年6月-2013年6月本院收治的需要二次剖宫产的孕妇110例,所有孕妇及家属均知情并同意,把第一次剖宫产横切口的55例孕妇作为对照组,第一次剖宫产纵切口的55例孕妇作为治疗组。两组均按照原腹壁旧切口手术。观察两组盆腹腔粘连、胎儿娩出的时间、总手术时间、术中出血量及新生儿窒息情况。结果:治疗组胎儿娩出时间、总手术时间比对照组短,两组比较差异具有统计学意义(P〈0.05);术中出血量及胎儿窒息方面治疗组比对照组少,但两组比较差异无统计学意义(P〉0.05);治疗组总粘连率为23.63%(13/55),对照组为54.50%(30/55),两组比较差异具有统计学意义(P〈0.05)。结论:对于有再次剖宫产手术可能的产妇切口应首选腹壁纵切口,以利于再次手术操作,同时减少手术创伤,对二次剖宫产的产妇具有重要的临床意义。
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关 键 词: | 瘢痕子宫 腹壁横切口 纵切口 剖宫产 |
Abdominal Transverse Incision with Longitudinal Incision Cesarean Comparison of the Secondary |
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Authors: | LU Gui-qiu |
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Affiliation: | LU Gui-qiuWuzhong District People's Hospital of Longbridge, Suzhou 225128, China |
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Abstract: | Objective: To investigate the analysis again cesarean uterine scar line abdominal transverse incision with vertical incision in the pros. Method: The first transverse incision cesarean section 55 cases of pregnant women as a control group, the first vertical incision cesarean section 55 cases of pregnant women as a treatment group. Both groups were used according to the original abdominal incision. Result: The treatment group fetus time; total operative time were shorter than the control group, two groups difference was statistically significant ( P〈0.05 ) . Intraoperative blood loss and fetal distress in the treatment group were less than the control group, but between the two groups had no statistical significance ( P〉0.05 ) Adhesion treatment group was 23.63% in the control group was 54.50% in group, the difference was statistically significant ( P〈0.05 ) . Conclusion : For a repeat cesarean section surgery may be preferred maternal abdorrdnal incision should be vertical incision to facilitate the re-operation operations, while reducing surgical trauma, the secondary cesarean section has important clinical significance. |
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Keywords: | Uterine scar Abdominal transverse incision Vertical incision Cesarean |
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