CAJ | 학술논문

目的：调查研究腹部横切口与纵切口对再次剖宫产手术的影响。方法：将108例再次行剖宫产手术的产妇按首次切口方式分为观察组（使用腹部纵切口）和对照组（使用腹部横切口），观察两组患者的临床效果。结果：观察组手术出血量、分娩时间、手术切皮开始至进腹时间、手术时间均少于对照组（P<0.01）；观察组盆腹腔粘连程度显著低于对照组（P<0.05）。结论：腹部纵切口方式对产妇再次剖宫产手术影响较小，可以有效降低再次手术对母婴的伤害，且安全性较高，值得在临床上进一步推广运用。
목적：조사연구복부횡절구여종절구대재차부궁산수술적영향。방법：장108례재차행부궁산수술적산부안수차절구방식분위관찰조（사용복부종절구）화대조조（사용복부횡절구），관찰량조환자적림상효과。결과：관찰조수술출혈량、분면시간、수술절피개시지진복시간、수술시간균소우대조조（P<0.01）；관찰조분복강점련정도현저저우대조조（P<0.05）。결론：복부종절구방식대산부재차부궁산수술영향교소，가이유효강저재차수술대모영적상해，차안전성교고，치득재림상상진일보추엄운용。
Objective:To research abdominal transverse incision vertical incision on cesarean section again. Method:108 cases women with cesarean section surgery again according to the first incision approach were divided into observation group(used abdominal longitudinal incision)and the control group(used the abdominal transverse mouth),and the clinical effect of two groups were observed. Result:Blood loss, delivery time, operation cut skin to into the belly of time, operation time in the observation group were less than those in the control group(P<0.01).And adhesion degree in the observation group was less than that in the control group(P<0.05).Conclusion:Abdominal incision cesarean section on maternal the surgery less affect, can effectively reduce the harm to the mother-to-child reoperation,and high security,is worth popularizing in further clinical application.