新式剖宫产318例临床分析

目的：探讨新式剖宫产的手术方式及其临床价值。方法：对４６８例有手术指征的孕妇随机分为三组，即新式剖宫产不缝合腹膜组、缝合腹膜组及子宫下段剖宫产组。对手术时间、术中出血量、术后病率及盆腔Ｂ超检查情况进行对比观察。结果：二种新式剖宫产术式与子宫下段剖宫产术比较，手术时间、术中出血量、术后病率差异有显著性（Ｐ〈０．０５），新式剖宫产二种术式比较，术中出血理、术后病率差异无显著性（Ｐ〉０．０５），手术总时

Clinical analysis of 318 cases of new-mode cesarean section]

OBJECTIVES: To study types of new mode cesarean section (CS) and its clinical value. METHODS: Four hundred and sixty-eight pregnant women with operative indications were randomly divided into three groups: the new mode CS group whose peritoneum was not sewed, the new mode CS group whose peritoneum was sewed, and the lower segmental CS group. The duration of operation, bleeding volume, morbidity after operation, and B type ultrasound for examining the incision were observed. RESULTS: There were significant difference in the duration of operation, bleeding volume, and morbidity after operation between the lower segmental CS and the two types of the new mode CS (P < 0.05). There was no significant differences in the bleeding volume and morbidity after operation between the two types of the new mode CS (P > 0.05), but there were significant difference in the duration of operation and the incision examined by B type ultrasound (P < 0.05). CONCLUSION: The new mode CS has shorter operative period, less bleeding, weak pain, faster recovery of peristalsis, and lower incidence of post-operative morbidity.