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目的:探讨我院改良新式剖宫产术中是否下推膀胱两种方式所致盆腔粘连的临床比较。方法:选取我院在2005年6月-2014年12月期间收治的105例再次剖宫产产妇,将其按照剖宫产术式的不同分为观察组54例和对照组51例,观察组实施改良新式剖宫产术中不下推膀胱的手术方式,对照组产妇采取改良新式剖宫产术中下推膀胱的手术方式,对比两组盆腔粘连发生率和盆腔粘连程度。结果:观察组盆腔粘连发生率16.67%,对照组盆腔粘连发生率为33.33%;同时,观察组盆腔粘连程度0级的比例明显高于对照组,且其盆腔粘连程度为II级、III级和IV级的比例均低于对照组。两组产妇盆腔粘连发生率和盆腔粘连程度,组间比较,差异具有统计学意义(P<0.05)。结论:与术中下推膀胱的改良新式剖宫产术相比较,采取改良新式剖宫产术中不下推膀胱的产妇盆腔粘连发生率较低,且盆腔粘连程度相对轻微。
OBJECTIVE: To investigate the clinical comparisons of pelvic adhesions caused by two ways of urinary bladder in improving new cesarean section in our hospital. Methods: 105 cases of re-cesarean section in our hospital from June 2005 to December 2014 were selected and divided into observation group (54 cases) and control group (51 cases) according to different cesarean section. The observation group The implementation of the new cesarean section to improve the operation method of pushing the bladder, the control group maternal take to improve the new method of cesarean section push the bladder surgery, pelvic adhesions compared the incidence of pelvic adhesions and two groups. Results: The incidence of pelvic adhesions in the observation group was 16.67%, and the incidence of pelvic adhesions in the control group was 33.33%. At the same time, the proportion of grade 0 pelvic adhesions in the observation group was significantly higher than that in the control group, and pelvic adhesions were grade II, III and Grade IV were lower than the control group. The incidence of pelvic adhesions and pelvic adhesions in the two groups were statistically significant (P <0.05). CONCLUSIONS: Compared with the improved new cesarean section with intraoperative lower urinary bladder, the incidence of pelvic adhesions in the new cesarean section was lower than that of the improved new cesarean section, and pelvic adhesions were relatively mild.