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目的:观察分析腹壁横切口剖宫产二次手术的治疗效果及安全性。方法:本研究随机选取我院2011年10月~2013年5月期间收治的80例行二次剖宫产产妇为研究对象,采用随机数字法将其分为两组,对照组40例采用腹壁横切口,治疗组40例采用腹壁纵切口,观察对比一般手术情况,盆、腹腔粘连以及不良结局发生情况。结果:治疗组产妇手术时间、术中出血量以及胎儿娩出时间明显小于对照组(P<0.05);盆、腹腔粘连率为明显低于对照组(P<0.05);脏器损伤、胎头娩出困难、新生儿窒息等不良结局发生率明显低于对照组(P<0.05)。结论:腹壁纵切口剖宫产二次手术术中出血量少、胎儿娩出、手术时间短,降低盆、腹腔粘连率,减少术后脏器损伤、胎头娩出困难、新生儿窒息等不良结局发生率,疗效显著,由此,临床上更倾向于腹壁纵切口剖宫产二次手术。
Objective: To observe the effect and safety of secondary cesarean section in abdominal transverse incision. Methods: This study randomly selected 80 cases of secondary cesarean section in our hospital from October 2011 to May 2013 were randomly divided into two groups, the control group of 40 patients with abdominal wall Transverse incision, the treatment group, 40 cases of abdominal longitudinal incision were observed and compared the general operation, pelvic and abdominal adhesions and adverse outcomes. Results: The maternal operation time, intraoperative blood loss and fetal delivery time in the treatment group were significantly less than those in the control group (P <0.05). The pelvic and abdominal adhesions rates in the treatment group were significantly lower than those in the control group (P <0.05) Difficulties, neonatal asphyxia and other adverse outcomes were significantly lower than the control group (P <0.05). CONCLUSIONS: The second surgery of cesarean section in abdominal longitudinal incision has less bleeding during operation, shorter fetal operation time, lower pelvic and abdominal adhesion rate, less postoperative organ injury, difficult delivery of fetal head and neonatal asphyxia Rate, significant effect, thus, more inclined to clinically abdominal incision cesarean section secondary surgery.