半腹膜外剖宫产术的临床应用

目的　探讨优化剖宫产术式与减少手术并发症的方法。方法　实施半腹膜外剖宫产术 80例(半腹膜外组 ) ,分别与同期腹膜外剖宫产术 (腹膜外组 )及子宫下段剖宫产术 (腹膜内组 )各 80例的效果进行比较。结果　半腹膜外组较腹膜外组手术开始至胎儿娩出时间及手术总时间缩短 (P <0 .0 1) ;胎头娩出困难及肉眼血尿发生率明显降低 (P <0 .0 1)。半腹膜外组与腹膜外组较腹膜内组术后病死率显著下降 ,术后发热反应轻 ,胃肠功能恢复时间早 (P <0 .0 1)。 3组手术出血量及新生儿评分差异无显著性意义 (P >0 .0 5 )。结论　半腹膜外剖宫产术手术方法简单 ,并发症少 ,手术时间短 ,是一种具有推广应用价值的新术式

Clinical application of partly extraperitoneal cesarean section

Objective To improve the method of cesarean section and reduce the operative complication. Methods Partly extraperitoneal cesarean section was performed in 80 patients(partly extraperitoneal group) and compared respectively with extraperitoneal cesarean section(extraperitoneal group, n=80) and low-segment cesarcan section(intraperitoneal group, n=80). Results In partly extraperitoneal group, the mean time for fetal delivery and the total operation period were shortened significantly(P<0.01, respectively). In partly extraperitoneal group and extraperitoneal group, postoperative morbidity was decreased significantly, postoperative mean temperature was lower, and gastrointestinal function recovery was earlier than that of intraperitoneal group(P<0.01 respectively). There was no significant difference in blood loss volume during the operation and newborn Apgar grade in three groups. Conclusion The partly extraperitoneal cesarcan section is simple to manipulate, with less operative complication and shorter operative time which is worth spreading.