检验医学与临床
檢驗醫學與臨床
검험의학여림상
JOURNAL OF LABORATORY MEDICINE AND CLINICAL SCIENCES
2015年
10期
1402-1403,1406
,共3页
米热阿依·尕依提%祖丽菲娅·阿布力克木
米熱阿依·尕依提%祖麗菲婭·阿佈力剋木
미열아의·소의제%조려비아·아포력극목
手术方式%疤痕子宫%再次妊娠%术后并发症%新生儿结局
手術方式%疤痕子宮%再次妊娠%術後併髮癥%新生兒結跼
수술방식%파흔자궁%재차임신%술후병발증%신생인결국
operative method%scarred uterus%subsequent pregnancy%postoperative complications%neonatal outcome
目的:探讨两种不同手术方式对疤痕子宫再次妊娠分娩产妇术后并发症及新生儿结局的影响。方法180例符合入选标准的疤痕子宫再次妊娠分娩产妇按手术方式分为对照组和观察组各90例。对照组行传统子宫下段剖宫产术,观察组行改良周氏子宫下段剖宫产术,观察比较两组手术情况、术后并发症发生率及新生儿结局。结果与对照组相比,观察组手术时间、手术开始至胎儿娩出时间、保留导尿时间、住院时间明显缩短,术中出血量明显减少,比较差异有统计学意义(P<0.05)。观察组术后并发症的发生率为6.7%,明显低于对照组的27.8%,差异有统计学意义(P<0.05)。两组均无新生儿死亡,新生儿Apgar评分小于7分和7~10分的比例在两组间比较,差异无统计学意义(P>0.05)。结论改良周氏子宫下段剖宫产术是疤痕子宫再次剖宫产的一种安全有效术式,优于传统子宫下段剖宫产术。
目的:探討兩種不同手術方式對疤痕子宮再次妊娠分娩產婦術後併髮癥及新生兒結跼的影響。方法180例符閤入選標準的疤痕子宮再次妊娠分娩產婦按手術方式分為對照組和觀察組各90例。對照組行傳統子宮下段剖宮產術,觀察組行改良週氏子宮下段剖宮產術,觀察比較兩組手術情況、術後併髮癥髮生率及新生兒結跼。結果與對照組相比,觀察組手術時間、手術開始至胎兒娩齣時間、保留導尿時間、住院時間明顯縮短,術中齣血量明顯減少,比較差異有統計學意義(P<0.05)。觀察組術後併髮癥的髮生率為6.7%,明顯低于對照組的27.8%,差異有統計學意義(P<0.05)。兩組均無新生兒死亡,新生兒Apgar評分小于7分和7~10分的比例在兩組間比較,差異無統計學意義(P>0.05)。結論改良週氏子宮下段剖宮產術是疤痕子宮再次剖宮產的一種安全有效術式,優于傳統子宮下段剖宮產術。
목적:탐토량충불동수술방식대파흔자궁재차임신분면산부술후병발증급신생인결국적영향。방법180례부합입선표준적파흔자궁재차임신분면산부안수술방식분위대조조화관찰조각90례。대조조행전통자궁하단부궁산술,관찰조행개량주씨자궁하단부궁산술,관찰비교량조수술정황、술후병발증발생솔급신생인결국。결과여대조조상비,관찰조수술시간、수술개시지태인면출시간、보류도뇨시간、주원시간명현축단,술중출혈량명현감소,비교차이유통계학의의(P<0.05)。관찰조술후병발증적발생솔위6.7%,명현저우대조조적27.8%,차이유통계학의의(P<0.05)。량조균무신생인사망,신생인Apgar평분소우7분화7~10분적비례재량조간비교,차이무통계학의의(P>0.05)。결론개량주씨자궁하단부궁산술시파흔자궁재차부궁산적일충안전유효술식,우우전통자궁하단부궁산술。
Objective To investigate the effects of two kinds of operative methods on postoperative complica‐tions and neonatal outcomes during the delivery of subsequent pregnan cy women with scarred uterus .Methods A total of 180 subsequent pregnancy women with scarred uterus meeting the inclusion criteria were divided into control group and and observ ation group according to operative methods ,each group with 90 women .Women in the control group were treated with traditional low segment cesarean section ,and women in the observation group were treated with modified Zhou′s low segment cesarean section .Then the operative situation ,the occurrence rate of postoperative complications and neonatal outcomes were observed and compared .Results Compared with the control group ,the operation time ,time from the beginning of the operation to fetal delivery ,catheter‐remaining time and hospitalization time in the observation group was statistical shorter ,and volume of bleeding during the operation was statistical less (P<0 .05) .The occurrence rate of postoperative complications in the observation group was 6 .7% ,which was statis‐tical lower than 27 .8% in the control group (P<0 .05) .In the two groups ,there′s no case of neonatal death ,and the cases with neonatal Apgar sore less than 7 points or 7 -10 scores in the two groups had no significant different (P>0 .05) .Conclusion Modified Zhou′s low segment cesarean section is a safety and effective operative method for the delivery of subsequent pregnancy women with scarred uterus ,which has many advantages over traditional low segment cesarean secti on .