CAJ | 학술논문

目的观察新式剖宫产子宫复旧和子宫切口愈合情况。方法两组各150例，观察组行新式剖宫产术，对照组行传统子宫下段剖宫产术。于术后7天、30天分别行盆腔B超检查观察子宫复旧及子宫切口愈合情况。结果两组病例术后7天、30天子宫各径线大小无显著差异(P＞0.05)；对照组术后30天宫腔积液发生率显著高于观察组(P＜0.05)；观察组术后30天子宫切口回声区域的纵径显著小于对照组(P＜0.05)；观察组术后30天子宫切口A型愈合率显著高于对照组(P＜0.05)。结论新式剖宫产术因子宫切口局部缝线少、异物反应小、吸收快，是有利于子宫复旧和子宫切口愈合的手术方式。
목적관찰신식부궁산자궁복구화자궁절구유합정황。방법량조각150례，관찰조행신식부궁산술，대조조행전통자궁하단부궁산술。우술후7천、30천분별행분강B초검사관찰자궁복구급자궁절구유합정황。결과량조병례술후7천、30천자궁각경선대소무현저차이(P＞0.05)；대조조술후30천궁강적액발생솔현저고우관찰조(P＜0.05)；관찰조술후30천자궁절구회성구역적종경현저소우대조조(P＜0.05)；관찰조술후30천자궁절구A형유합솔현저고우대조조(P＜0.05)。결론신식부궁산술인자궁절구국부봉선소、이물반응소、흡수쾌，시유리우자궁복구화자궁절구유합적수술방식。
bjective To observe the uterine involution and uterus incision after new method section. Methods 150new method sections( study group)were compared with 150 traditional low segment cesarean section (control group ). 7days and 30 days after cesarean section, the uterine involution and uterus incision were observed by B-ultrasound.Results There was no significant difference in the uterus size between the two groups on the 7th and 30th day after cesarean section, the rate of the occurence of liquid area in uterus cavity was significantly lower in the study group than that in the control group( P<0.05). Ordinate of echo area in uterus incision in the study group was significantly lower than that in the control group( P<0.05) and the rate of cicatrization of uterus incision in type A was significantly higher in the study group than that in the control group (P<0.05) on the 30th day after cesarean section. Conclusion The new method cesarean section is helpful to the uterine involution and the healing of uterus incision due to its less suture and rapid absorption.