腹壁横切口二次剖宫产的临床分析

目的探讨研究腹壁横切口二次剖宫产术的临床效果。方法选取2010年8月～2013年8月本院妇产科收治的二次剖宫产产妇印例，分为对照组（腹壁纵切口）和观察组（腹壁横切口），观察比较两组产妇的开腹时间、手术时间、术中出血量及盆腹腔粘连情况。结果观察组产妇的手术总时间较对照组明显延长，观察组产妇的术中出血量也明显多于对照组，同时观察组产妇盆腹腔粘连率也高于对照组，差异均有统计学意义（P〈0．05）。结论与腹壁横切口相比，腹壁纵切口更利于二次剖宫产手术。

Clinical analysis of abdominal transverse incision in econdary cesarean section

Objective To discuss the clinical effect of abdominal transverse incision in econdary cesarean section. Methods From August 2010 to August 2013, 30 cases of primipara in our hospital by econdary cesarean section operation were divided into control group （abdominal vertical incision） and observation group （ abdominal transverse incision）. In secondary cesarean section observed the extent of adhesion, two times operative time, intraoperative blood loss and compared control group with observation group. Results In observation group adhesion was more than in control group, the former operative time wag longer and more blood loss, the differences were statistically significant （P 〈 0. 05）. Conclusion Compared with the abdominal transverse incision, abdominal vertical incision is more conducive to econdary cesarean section.