中国性科学
中國性科學
중국성과학
THE CHINESE JOURNAL OF HUMAN SEXUALITY
2014年
4期
3-5
,共3页
剖宫产%纵切口%横切口%疤痕情况%粘连
剖宮產%縱切口%橫切口%疤痕情況%粘連
부궁산%종절구%횡절구%파흔정황%점련
Cesarean section%Longitudinal incision%Transverse incision%Scar%Adhesion
目的：探究首次实施不同剖宫产分娩的产妇对术后并发症及再次剖宫产的影响，并为产妇分娩方式的选择提供参考。方法：选取我院妇产科于2010年2月至2012年10月收治的120例再次行子宫下段横切剖宫产产妇，根据产妇首次剖宫产腹壁切口方式的不同进行分组。其中A组58例，为初次剖宫产腹壁中线纵切组；B组62例，为初次剖宫产腹壁横切组。记录两组产妇腹壁疤痕情况、盆腹腔粘连程度及再次剖宫产术中情况。结果：（1）A组产妇腹壁疤痕情况明显优于B组，差异有统计学意义（P＜0.05）。（2）A组产妇盆腹腔粘连发生率明显低于B组，差异有统计学意义（P＜0.05）。（3）A组开腹至胎儿娩出时间为（8.1±2.3）min，手术总时间为（45.3±8.2）min，术中出血量为（267.4±68.2）mL，B组分别为（11.8±3.1） min，（56.4±9.6）min，（303.5±78.3）mL，差异均有统计学意义（P＜0.05）。结论：首次剖宫产产妇选择纵切口术式能够降低盆腹腔粘连程度，并降低再次剖宫产的手术风险和损伤情况。
目的：探究首次實施不同剖宮產分娩的產婦對術後併髮癥及再次剖宮產的影響，併為產婦分娩方式的選擇提供參攷。方法：選取我院婦產科于2010年2月至2012年10月收治的120例再次行子宮下段橫切剖宮產產婦，根據產婦首次剖宮產腹壁切口方式的不同進行分組。其中A組58例，為初次剖宮產腹壁中線縱切組；B組62例，為初次剖宮產腹壁橫切組。記錄兩組產婦腹壁疤痕情況、盆腹腔粘連程度及再次剖宮產術中情況。結果：（1）A組產婦腹壁疤痕情況明顯優于B組，差異有統計學意義（P＜0.05）。（2）A組產婦盆腹腔粘連髮生率明顯低于B組，差異有統計學意義（P＜0.05）。（3）A組開腹至胎兒娩齣時間為（8.1±2.3）min，手術總時間為（45.3±8.2）min，術中齣血量為（267.4±68.2）mL，B組分彆為（11.8±3.1） min，（56.4±9.6）min，（303.5±78.3）mL，差異均有統計學意義（P＜0.05）。結論：首次剖宮產產婦選擇縱切口術式能夠降低盆腹腔粘連程度，併降低再次剖宮產的手術風險和損傷情況。
목적：탐구수차실시불동부궁산분면적산부대술후병발증급재차부궁산적영향，병위산부분면방식적선택제공삼고。방법：선취아원부산과우2010년2월지2012년10월수치적120례재차행자궁하단횡절부궁산산부，근거산부수차부궁산복벽절구방식적불동진행분조。기중A조58례，위초차부궁산복벽중선종절조；B조62례，위초차부궁산복벽횡절조。기록량조산부복벽파흔정황、분복강점련정도급재차부궁산술중정황。결과：（1）A조산부복벽파흔정황명현우우B조，차이유통계학의의（P＜0.05）。（2）A조산부분복강점련발생솔명현저우B조，차이유통계학의의（P＜0.05）。（3）A조개복지태인면출시간위（8.1±2.3）min，수술총시간위（45.3±8.2）min，술중출혈량위（267.4±68.2）mL，B조분별위（11.8±3.1） min，（56.4±9.6）min，（303.5±78.3）mL，차이균유통계학의의（P＜0.05）。결론：수차부궁산산부선택종절구술식능구강저분복강점련정도，병강저재차부궁산적수술풍험화손상정황。
Objectives:To explore the impact of first implementation of cesarean section on postoperative complications and subsequent cesarean section in order to provide a reference for choosing the modes of delivery. Method:120 cases who were admminted into our hospital from February 2010 to October 2012 were selected and given lower uterine segment transverse cesarean section for the second time.They were grouped according to differ-ent initial abdominal incisions.58 patients who had abdominal midline longitudinal cesarean section were in Group A;while 62 cases who had abdominal midline transverse cesarean section were in Group B.The abdominal wall scar,abdominal and pelvic adhesion degree and the second cesarean section situation of the two groups were recor-ded.Results:(1 )The situation of abdominal wall scar of Group A was significantly better than that of Group B, and the difference was statistically significant (P<0.05).(2)The pelvic peritoneal adhesion rate was significantly lower than that of Group B,with statistically significant difference (P<0.05).(3)A group open to childbirth time was (8.1 ±2.3)min,the total time for the operation (45.3 ±8.2)min,the amount of intraoperative bleeding was (267.4 ±68.2)mL,B group were (11.8 ±3.1)min,(56.4 ±9.6)min,(303.5 ±78.3)mL,difference there were statistically significant (P<0.05 ).Conclusion:Choice of longitudinal incision as the first implementation of cesarean section can reduce abdominal and pelvic adhesion degree and the cesarean section operation risk.
