中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
23期
66-66,68
,共2页
瘢痕子宫%再次剖宫产%手术方式%盆腹腔粘连%影响
瘢痕子宮%再次剖宮產%手術方式%盆腹腔粘連%影響
반흔자궁%재차부궁산%수술방식%분복강점련%영향
Scar uterus%Second cesarean section operation%Mode of operation%Abdominal adhesions%Influence
目的：探讨瘢痕子宫再次剖宫产手术方式对盆腹腔粘连的影响。方法：收治瘢痕子宫再次妊娠产妇60例，随机分成子宫下段剖宫产术组和斯塔克(Stark)剖宫产术组。结果：子宫下段剖宫产术组Ⅰ类盆腔粘连4例(13.3%)，Ⅱ类盆腔粘连19例(63.3%)，Ⅲ类盆腔粘连6例(20.0%)，Ⅳ类盆腔粘连1例(3.3%)。Stark剖宫产术组Ⅰ类盆腔粘连1例(3.3%)，Ⅱ类盆腔粘连17例(56.7%)，Ⅲ类盆腔粘连10例(33.3%)，Ⅳ类盆腔粘连2例(6.7%)。两组Ⅰ类盆腔粘连和Ⅲ类盆腔粘连比较差异有统计学意义(P＜0.05)，Ⅱ类和Ⅳ类盆腔粘连比较差异无统计学意义(P＞0.05)。结论：下段剖宫产术对瘢痕子宫再次剖宫产导致的盆腹腔粘连程度低于Stark剖宫产术，下段剖宫产术是瘢痕子宫再次剖宫产的首选方法。
目的：探討瘢痕子宮再次剖宮產手術方式對盆腹腔粘連的影響。方法：收治瘢痕子宮再次妊娠產婦60例，隨機分成子宮下段剖宮產術組和斯塔剋(Stark)剖宮產術組。結果：子宮下段剖宮產術組Ⅰ類盆腔粘連4例(13.3%)，Ⅱ類盆腔粘連19例(63.3%)，Ⅲ類盆腔粘連6例(20.0%)，Ⅳ類盆腔粘連1例(3.3%)。Stark剖宮產術組Ⅰ類盆腔粘連1例(3.3%)，Ⅱ類盆腔粘連17例(56.7%)，Ⅲ類盆腔粘連10例(33.3%)，Ⅳ類盆腔粘連2例(6.7%)。兩組Ⅰ類盆腔粘連和Ⅲ類盆腔粘連比較差異有統計學意義(P＜0.05)，Ⅱ類和Ⅳ類盆腔粘連比較差異無統計學意義(P＞0.05)。結論：下段剖宮產術對瘢痕子宮再次剖宮產導緻的盆腹腔粘連程度低于Stark剖宮產術，下段剖宮產術是瘢痕子宮再次剖宮產的首選方法。
목적：탐토반흔자궁재차부궁산수술방식대분복강점련적영향。방법：수치반흔자궁재차임신산부60례，수궤분성자궁하단부궁산술조화사탑극(Stark)부궁산술조。결과：자궁하단부궁산술조Ⅰ류분강점련4례(13.3%)，Ⅱ류분강점련19례(63.3%)，Ⅲ류분강점련6례(20.0%)，Ⅳ류분강점련1례(3.3%)。Stark부궁산술조Ⅰ류분강점련1례(3.3%)，Ⅱ류분강점련17례(56.7%)，Ⅲ류분강점련10례(33.3%)，Ⅳ류분강점련2례(6.7%)。량조Ⅰ류분강점련화Ⅲ류분강점련비교차이유통계학의의(P＜0.05)，Ⅱ류화Ⅳ류분강점련비교차이무통계학의의(P＞0.05)。결론：하단부궁산술대반흔자궁재차부궁산도치적분복강점련정도저우Stark부궁산술，하단부궁산술시반흔자궁재차부궁산적수선방법。
Objective:To explore the influence of second cesarean section operation in scar uterus for peritoneal adhesion. Methods:60 cases of re pregnant women with scar uterus were selected.They were randomly divided into the low cesarean section group and stark(Stark) cesarean section group.Results:In the low cesarean section group,4 cases(13.3% ) were Ⅰ type pelvic adhesions,19 cases(63.3%) were Ⅱ type pelvic adhesions,6 cases(20.0%) were Ⅲ type pelvic adhesion,1 case(3.3%) was Ⅳ type pelvic adhesions.In the stark cesarean section group,1 cases(3.3%) was Ⅰ type pelvic adhesions,17 cases(56.7%) were Ⅱ type pelvic adhesions,10 cases(33.3%) were Ⅲ type pelvic adhesion,2 cases(6.7%) were Ⅳ type pelvic adhesions.There was statistical significance in Ⅰ type pelvic adhesions and Ⅲ type pelvic adhesions of the two groups(P<0.05),and there was no statistical significance in Ⅱ type pelvic adhesions and Ⅳ type pelvic adhesions of the two groups(P>0.05).Conclusion:Abdominal adhesion degree caused by second cesarean section operation in scar uterus was lower than that of stark cesarean section.The low cesarean section was the preferred method for second cesarean section operation in scar uterus.
