论文部分内容阅读
目的:探讨不同剖宫产术式后腹腔粘连情况及产生原因,以期寻求科学合理的手术方式。方法:对160例再次行剖宫产术病例进行回顾性分析,比较其腹腔粘连情况。结果:改良剖宫产术、子宫下段剖宫产术、新式剖宫产术后发生粘连者发生率分别是22.9%、54.2%和90.0%,前者与后两者比较差异有统计学意义(P<0.01)。腹腔重度粘连发生率改良组最低,粘连程度最轻,与后两者比较差异有统计学意义(P<0.01);发生腹腔粘连及粘连程度与时间间隔长短无关,并不随着术后时间的延长而发生变化,差异无统计学意义(P>0.05)。结论:新式剖宫产术导致的腹腔粘连最重,子宫下段剖宫产术次之,改良剖宫产术粘连最轻,发生率最低。
Objective: To explore different cesarean section after abdominal adhesions and causes, in order to seek a scientific and rational surgical approach. Methods: Retrospective analysis of 160 cases of cesarean section again retrospective analysis of their abdominal adhesions. Results: The rates of cesarean section, cesarean section in lower uterine segment and cesarean section after new cesarean section were 22.9%, 54.2% and 90.0%, respectively. The difference between the former and the latter was statistically significant (P <0.01). The incidence of peritoneal adhesion was the lowest in the modified group, the lightest in adhesion group, and the latter two were statistically significant (P <0.01). The incidence of peritoneal adhesions and adhesions was not related to the length of time interval, not with the extension of postoperative time The changes were not statistically significant (P> 0.05). Conclusion: The new cesarean section results in the most severe abdominal adhesions, followed by cesarean section in the lower uterine segment, the lightest in the modified cesarean section with the lowest incidence.