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目的:探讨改良新式剖宫产术的方法,分析改良新式剖宫产术在临床应用中的价值。方法:对2003年1月~2012年12月南海区妇幼保健院妇产科收治的有2次剖宫产史的产妇240名进行回顾性分析,分为改良组(第1次剖宫产采用改良新式剖宫产术)和对照组(采用M.Stark新式剖宫产术),两组各120名,两组产妇第2次剖宫产均采用传统子宫下段剖宫产术。比较两组产妇在第1次剖宫产术中的出血量、手术时间、术后恢复情况等指标,同时比较第2次剖宫产术中的出血量、手术时间、腹壁粘连、盆腔粘连等指标。结果:第1次剖宫产时,两组产妇在手术时间、术中总出血量、术后恢复情况方面比较,差异无统计学意义(P>0.05);而第2次剖宫产时,改良组手术时间、术中出血量、腹壁及盆腔粘连情况均优于对照组,两组比较,差异有统计学意义(P<0.05)。结论:改良新式剖宫产术既具有手术时间短、损伤小、出血少、术后恢复快等优点,又能有效避免M.Stark新式剖宫产术后腹壁、盆腔粘连严重的缺点,便于第2次剖宫产及其他盆腔手术开展,值得临床推广应用。
Objective: To explore the method of improving new cesarean section and to analyze the value of improving new cesarean section in clinical application. Methods: A retrospective analysis of 240 maternal women with 2 history of cesarean section admitted to Department of Obstetrics and Gynecology, Maternal and Child Health Hospital of Nanhai District from January 2003 to December 2012 was divided into three groups: the modified group (the first cesarean section Improved new cesarean section) and control group (using M.Stark new cesarean section), two groups of 120 each. The second cesarean section of the two groups of women adopted traditional uterine cesarean section. The two groups of maternal bleeding in the first cesarean section, operation time, postoperative recovery and other indicators, while the second cesarean section in the amount of bleeding, operation time, abdominal adhesions, pelvic adhesions, etc. index. Results: The first cesarean section, the two groups of maternal in operation time, total intraoperative blood loss, postoperative recovery, the difference was not statistically significant (P> 0.05); while the second cesarean section, The operation time, intraoperative blood loss, abdominal wall and pelvic adhesions in the improved group were better than those in the control group. There was significant difference between the two groups (P <0.05). Conclusion: Modified cesarean section not only has the advantages of short operation time, less injury, less bleeding and quick recovery, but also can effectively avoid the shortcomings of abdominal wall and pelvic adhesions after M. Stark new cesarean section, 2 cesarean section and other pelvic surgery to carry out, worthy of clinical application.