新式剖宫产术后行再次剖宫产的临床观察

目的探讨首次剖宫产选择stark术式对再次剖宫产的影响。方法将180例再次剖宫产病例纳入研究,按初次剖宫产术式分为观察组和对照组,每组90例。对照组行传统子宫下段剖宫产术,观察组行新式剖宫产（即stark式剖宫产）。观察再次剖宫产时切皮至胎儿娩出时间、手术总时间、胎儿娩出困难率、新生儿窒息率、腹壁盆腔重度粘连率。结果观察组切皮至胎儿娩出及手术时间明显长于对照组,胎儿娩出困难发生率、新生儿窒息发生率、腹壁盆腔重度粘连比率明显高于对照组,组间差异具有统计学意义（P〈0.05）。结论新式剖宫产较传统剖宫产手术,盆腔粘连更为严重,胎儿娩出困难,新生儿窒息率增加,故需慎重选择首次剖宫产术式。

The clinical observation of re - cesarean section afar stark cesarean section

Objective To explore the impact of re - cesarean section after the stark cesarean section. Methods 180 patients ac- cepted re - cesarean section were included in the study. According to the first - time cesarean section, all patients were divided into observa- tion group and control group, each group had 90 cases. The control group had traditional cesarean section on lower uterine, the observation group had stark cesarean section. All clinical parameters were compared including Laparotomy tin, e, total operation time, the incidence of dif- ficult delivery of baby, the incidence of neonatal asphyxia, the incidence of severe abdominal and pelvic adhesions. Results The laparotomy time and total abdominal operation time of observation group were significantly longer than the control group, the incidence of difficult delivery of baby,neonatal asphyxia, severe abdominal and pelvic adhesions were significantly higher than the control group. There was significant difference between the two groups （ P 〈 0.05 ）. Conclusion The pelvic adhesions of stark cesarean section was more serious than traditional cesarean section, the incidence of difficult delivery of baby and neonatal asphyxia increase, so it must be careful to choose cesarean section the first time.