CAJ | 학술논문

目的：研究改良式横切口子宫下段剖宫产术用于产科剖宫产的使用价值。方法选取68例在该院产科于近1年来接受剖宫产手术的产妇，将这68例产妇平均分为对照组34例和实验组34例，将传统腹部横切口子宫下段剖宫产手术应用于对照组，将改良横切口子宫下段剖宫产术用于实验组，观察两组疗效。结果实验组在术中出血量、手术持续时间、肛门排气时间、并发症发生率较对照组要低，且新生儿Apgar评分较对照组要高，差异有统计学意义（P<0.05)，具有统计意义。结论改良横切口子宫下段剖宫产术在产科剖宫产手术中的使用价值较高，疗效肯定，值得于临床推广。
목적：연구개량식횡절구자궁하단부궁산술용우산과부궁산적사용개치。방법선취68례재해원산과우근1년래접수부궁산수술적산부，장저68례산부평균분위대조조34례화실험조34례，장전통복부횡절구자궁하단부궁산수술응용우대조조，장개량횡절구자궁하단부궁산술용우실험조，관찰량조료효。결과실험조재술중출혈량、수술지속시간、항문배기시간、병발증발생솔교대조조요저，차신생인Apgar평분교대조조요고，차이유통계학의의（P<0.05)，구유통계의의。결론개량횡절구자궁하단부궁산술재산과부궁산수술중적사용개치교고，료효긍정，치득우림상추엄。
Objective To study the use value of modified lower uterine segment caesarean section via transverse incision in obstet-ric caesarean section. Methods 68 puerperants underwent cesarean section in department of obstetrics of our hospital in the recent 1 year were selected. And the 68 cases were equally divided into the control group and the experimental group with 34 cases in each. The control group was treated by traditional lower uterine segment caesarean section via abdominal transverse incision, and the experimental group was treated by modified lower uterine segment caesarean section via transverse incision. And the curative effects of the two groups were observed. Results Compared with the control group, the amount of intraoperative bleeding, duration of operation, incidence of complications of the experimental group were less, the anal exhaust time was earlier, the neonatal Apgar score was higher with statistically significant difference (P<0.05). Conclusion Modified lower uterine segment caesarean section via transverse incision applied to the obstetric cesarean section has high use value and definite curative effect, so it is worthy of clini-cal promotion.