CAJ | 학술논문

目的：总结重复剖宫产手术的经验，以减少手术损伤和手术并发症的发生。方法回顾分析720例行重复剖宫产手术患者的术中情况、手术方法和手术结果。结果术中发现重度粘连50例，无一例发生肠管、膀胱损伤；瘢痕愈合不良80例。12例胎盘部分粘连，附着于子宫原瘢痕部位，出血较多，经局部缝合等处理止血。1例胎盘广泛植入原瘢痕部位，出血凶猛，行子宫切除。完全性前置胎盘2例，经常规处理后仍出血较多，即行子宫切除。所有患者术后无严重并发症发生。结论对于重复剖宫产重度粘连、切口愈合不良者采用剖宫产手术方法安全可行。
목적：총결중복부궁산수술적경험，이감소수술손상화수술병발증적발생。방법회고분석720례행중복부궁산수술환자적술중정황、수술방법화수술결과。결과술중발현중도점련50례，무일례발생장관、방광손상；반흔유합불량80례。12례태반부분점련，부착우자궁원반흔부위，출혈교다，경국부봉합등처리지혈。1례태반엄범식입원반흔부위，출혈흉맹，행자궁절제。완전성전치태반2례，경상규처리후잉출혈교다，즉행자궁절제。소유환자술후무엄중병발증발생。결론대우중복부궁산중도점련、절구유합불량자채용부궁산수술방법안전가행。
Objective To summarize the experience of repeated cesarean in order to reduce operation dam -age and complication .Methods A retrospective analysis on the different ways of operation and results on 720 pa-tients who had repeated cesarean .Results Fifty severe adhesion patients did not have any damage to their intestines or bladders, eighty patients who did not recover well from the last operation did not bleed between the menses . Twelve patients whose placentas were partly adhered to cesarean section scar bled much and stopped bleeding by sew -ing.A patient whose placenta was widely adhered to cesarean section scar bled much more and had her uterus ex -cised, 2 patients who had prepositional placenta bled a little more after being treated and had their uterus excised . Conclusion The way can be used not only to treat those who have repeated cesarean with severe adhesion ,but it can also be used to treat the patients who do not recover from last cesarean .So the way is well worth popularizing .