改良新式剖宫产术526例临床分析

目的：探讨改良新式剖宫产与马彦彦新式剖宫产两种术式的优缺点，寻找损伤小、并发症少的术式。方法：观察组采用改良新式剖宫产术（n=526），对照组采用马彦彦新式剖宫产术（n=518）。比较两组患者手术时间、术中出血、娩头难易、切口撕裂、术后排气、切口愈合等情况。结果：两组患者手术时间、术后排气、切口愈合等无明显差异。观察组术中出血、娩头困难、切口撕裂等发生率明显低于对照组。结论：改良新式剖富产术较马彦彦新式剖宫产术并发症更少，损伤更小，有临床推广应用价值。

Clinical analysis on new-improved cesarean of 526 pregnancies

Objective:To probe the advantages of the new-improved cesarean and Yanyan Ma'new-style cesarean,meanwhile to find which has less trauma and less complications.Methods:Observation group(n=526) were adopted the new-improved cesarean,and control group(n=518) were adopted the Yanyan Ma'new-style cesarean.Comparing the operation time,partum bleeding,difficulty of head delivery,laceration of the incision,outgas after operation and wound healing of these two kinds of operations.Results:There was no difference between the observation group and the control group in operation time outgas after operation and wound healing.But the incidences of partum bleeding,difficulty of head delivery and laceration of incision in the observation group were exactly lower than that of the control group.Conclusion:Compared with Yanyan Ma'new-style cesarean,the new-improved cesarean has less complications and less trauma,and it is worth to extending the new-improved cesarean in clinic.