中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2009年
18期
88-89
,共2页
再次剖官产%临床分析%腹腔粘连%术中出血
再次剖官產%臨床分析%腹腔粘連%術中齣血
재차부관산%림상분석%복강점련%술중출혈
Repeatesarean section%Clinical effect%Abdominal adhesions%Intraoperative hemorrhage
目的 探讨首次剖宫产时不同手术方式对再次剖宫产的影响.方法 对再次剖宫产病例进行回顾性分析,其中新式剖宫产组100例(A组),传统子宫下段剖宫产组86例(B组),对比两组腹腔粘连程度、开腹至胎儿娩出时间、手术总时间、术中出血、术后排气时间.结果 新式剖宫产组与传统子宫下段剖官产组相比,腹腔粘连严重,开腹至胎儿娩出时间、手术总时间长,术中出血多,术后排气时间长,差异性显著(P<0.05).结论 新式剖宫产再次手术,腹腔粘连严重,术中出血多,术后恢复差;传统子宫下段剖宫产手术切口创伤小,再次手术操作简单,进腹时间短,对有二胎指标可能再次行剖宫产手术者是一种明智选择.
目的 探討首次剖宮產時不同手術方式對再次剖宮產的影響.方法 對再次剖宮產病例進行迴顧性分析,其中新式剖宮產組100例(A組),傳統子宮下段剖宮產組86例(B組),對比兩組腹腔粘連程度、開腹至胎兒娩齣時間、手術總時間、術中齣血、術後排氣時間.結果 新式剖宮產組與傳統子宮下段剖官產組相比,腹腔粘連嚴重,開腹至胎兒娩齣時間、手術總時間長,術中齣血多,術後排氣時間長,差異性顯著(P<0.05).結論 新式剖宮產再次手術,腹腔粘連嚴重,術中齣血多,術後恢複差;傳統子宮下段剖宮產手術切口創傷小,再次手術操作簡單,進腹時間短,對有二胎指標可能再次行剖宮產手術者是一種明智選擇.
목적 탐토수차부궁산시불동수술방식대재차부궁산적영향.방법 대재차부궁산병례진행회고성분석,기중신식부궁산조100례(A조),전통자궁하단부궁산조86례(B조),대비량조복강점련정도、개복지태인면출시간、수술총시간、술중출혈、술후배기시간.결과 신식부궁산조여전통자궁하단부관산조상비,복강점련엄중,개복지태인면출시간、수술총시간장,술중출혈다,술후배기시간장,차이성현저(P<0.05).결론 신식부궁산재차수술,복강점련엄중,술중출혈다,술후회복차;전통자궁하단부궁산수술절구창상소,재차수술조작간단,진복시간단,대유이태지표가능재차행부궁산수술자시일충명지선택.
Objective Discussing the impact of the first various cesarean section types to the second cesarean section. Methods The cases of second eesarean scetion were reviewed and analyzed, the new type cesarean section is 100 eases(group A) ,the traditional surgery for low-er uterine cesarean section is 86 cases(group B), comparing tow abdominal surgery adhesion, the time from open to have fetus takeout,opera-tive time,bleeding and postoperative exhaust time. Results Cesarean section patients compard with tradition lower uterine segment cesarean section patients,abdominal adhesions is more severe,the time from open to have fetus takeout,operative time is longer,the average blood is more and postoperative exhaust time is longer(P < 0.05). Conelusion Repeated cesarean section surgery of abdominal adhesion and bleeding is more, poor recovery after surgery. The traditional surgery for lower uterine cesarean section has light surgical trauma, short time before deliv-ery, and make reoperation easier.Therefore, for those who may have the second births, it is worthy to be chose.
