CAJ | 학술논문

目的：分析探讨改良式剖宫产术与传统剖宫产术对再次剖宫产的临床作用。方法选择我院2013年1月～2014年12月之间收治的再次进行剖宫产的118例孕妇作为观察对象，采用随机的方式将其分为观察组和对照组各59例。对照组产妇应用传统剖宫产术式；观察组产妇则应用改良式剖宫产术式，分析对比两组孕妇的切口情况、腹腔粘连发生率、胎儿娩出时间以及手术时间等指标。结果观察组与对照组孕妇的子宫切口愈合状况差异较小，无统计学意义（P ＞0.05）；观察组孕妇的腹腔粘连发生率、总手术时间、胎儿娩出时间等指标均优于对照组孕妇，差异具有显著的统计学意义（P ＜0.05）。结论改良式剖宫产术对于再次行剖宫产的孕妇影响更小、手术的风险更低，能够保障产妇健康。
목적：분석탐토개량식부궁산술여전통부궁산술대재차부궁산적림상작용。방법선택아원2013년1월～2014년12월지간수치적재차진행부궁산적118례잉부작위관찰대상，채용수궤적방식장기분위관찰조화대조조각59례。대조조산부응용전통부궁산술식；관찰조산부칙응용개량식부궁산술식，분석대비량조잉부적절구정황、복강점련발생솔、태인면출시간이급수술시간등지표。결과관찰조여대조조잉부적자궁절구유합상황차이교소，무통계학의의（P ＞0.05）；관찰조잉부적복강점련발생솔、총수술시간、태인면출시간등지표균우우대조조잉부，차이구유현저적통계학의의（P ＜0.05）。결론개량식부궁산술대우재차행부궁산적잉부영향경소、수술적풍험경저，능구보장산부건강。
Objective To analyze the clinical effect of Modified Cesarean section and traditional cesarean section in the treatment of cesarean section again. Methods 118 cases of pregnant women who were treated in our hospital from January 2013 to December 2014 in our hospital were selected as the observation objects, and were randomly divided into observation group and control group with 59 cases in each group. Control group of maternal traditional cesarean section surgery, maternal observation group application of Modified Cesarean section operation. Analysis were compared between the two groups of pregnant women of incision, abdominal adhesion rate, fetal childbirth time and operation time index. Results Observation group and control group of pregnant women, uterine incision healing difference is small, no statistical significance (P>0.05), observation group of pregnant women, abdominal adhesion occurrence rate, total operative time, fetal childbirth time and other indicators were better than that of the control group of pregnant women, the difference is significant statistical significance (P<0.05). Conclusion The modified cesarean section is less affected by the pregnant women with cesarean section, and the risk of surgery is lower, and it can protect the health of women.