新式剖宫产术1800例临床总结分析

目的 比较以色列式剖宫产与腹壁纵切口子宫下段剖宫产。方法 对1997年7月至1999年11月间开展M.Stark教授创立的以色列式剖宫产术1800例和1993年6月至1997年6月间开展的腹壁纵切口子宫下段剖宫产术1500例的临床资料、术后并发症、新生儿Apgar评分进行比较。结果 两组开腹时间、开腹出血量、切皮至胎儿娩出时间、手术时间、排气时间、手术并发症的差异均有显著性(P<0.05),新生儿Apgar评分的差异无显著性(P>0.05)。结论 以色列式剖宫产术具有一定的优点,有临床推广应用价值。

Clinical analysis of 1800 cases of Stark 's cesarean section

Objective To analyze cesarean sections by Stark ' s method and the abdominal longitudinal incision for uterine lower segment cesarean section. Methods 1800 cases of cesarean section by Israel Stark ' s method during 1997.7 to 1999.11 were compared with 1500 cesarean sections by abdominal longitudinal incision performed during 1993.6 to 1997.6.The clinical data, post-operative complications, and Apgar Score of newborns were analyzed.Results There wre significant differences in total operation time, average blood loss during operation, the time intervals for delivery of infant, and postoperative complications between the 2 groups (P<0.05), while no significant difference in neonatal Apgar scores (P>0.05) .Conclusions The Israel Stark ' s operation has significant advantages over the traditional cesarean sections, and worth popularizing in obstetrics.