论文部分内容阅读
对１５０例有剖宫产指征，存在宫内感染因素的产妇分别采用改良经腹腹膜外，腹膜外和子宫下段三种不同术式剖宫产。结果表明：三术式切皮至胎头娩出平均时间依次为１９．５，２２．６和１９．９ｍｉｎ（Ｐ＜０．０５）；手术总平均时间依次为５８．０，６８．２和７２．０ｍｉｎ（Ｐ＜０．０１）；术后胃肠功能恢复平均时间依次为２６．６，２６．０和４７．９ｈ（Ｐ＜０．０１）；术后产褥病率依次为１０．０％，１２．０％和２４．０％（Ｐ＜０．０１）；术后并发症依次为０％，２６．０％和６．０％（Ｐ＜０．０１）。新生儿Ａｐｇａｒ１ｍｉｎ评分，术中出血量三种不同术式组无明显差异。改良经腹腹膜外剖宫产是一种简便、安全、实用的术式，尤适用于子宫下段形成不良、存在宫内感染因素的产妇。
150 cases of cesarean indications, there are intrauterine infection factors were adopted improved peritoneal extraperitoneal, extraperitoneal and uterine segment of the three different caesarean section. The results showed that the average time from three-stage incision to fetal head delivery were 19.5,22.6 and 19.9 min (P <0.05), and the average time of operation was 58.0,68.2 and 72 .0min (P <0.01). The mean time of postoperative gastrointestinal function recovery was 26.6,26.0 and 47.9h (P <0.01) %, 12.0% and 24.0%, respectively (P <0.01). The postoperative complications were 0%, 26.0% and 6.0% respectively (P <0.01). Neonatal Apgar1min score, intraoperative blood loss of three different surgical groups no significant difference. Improved abdominal peritoneal cesarean section is a simple, safe and practical surgical procedures, especially for the formation of the lower uterine segment, there are intrauterine factors infertile women.