二次剖宫产术172例腹腔粘连临床分析

目的：探讨首次不同剖官产手术方式对术后腹壁、盆腹腔粘连情况,以期改良术式,减少或减轻并发症的发生率.方法：回顾性分析我院172例二次剖宫产术资料,比较采用新式剖宫产改良术式的患者92例（观察组）和采用新式剖官产常规术式患者80例（对照组）的盆腹腔粘连情况.结果：改良新式剖官产术所致的盆腹腔粘连较新式剖官产术明显减轻.结论：改良新式剖宫产术必须缝合膀胱子宫反折腹膜及关闭脏壁层腹膜.

Clinical analysis of 172 cases of peritoneal adhesion after secondary cesarean sections

Objective： To investigate the effect of the first-time different cesarean delivery operations on the abdominal wall and pelvic adhension, hoping to improve the operation ways so as to reduce or relieve the incidence rate of complications. Methods： Data of secondary cesarean operations in 172 patients in our hospital were retrospectively analyzed, the pelvic and abdominal wall adhension of 92 patients performed surgeries with the new-style and improved cesarean sections （the observation group） and 80 patients with the new-style conventional cesarean sections （the control grou was compared. Results. The pelvic and abdominal wall adhension of the observation group reduc P） ed more obviously than that of the control group. Conclusion： The suture of the bladder and uterus reflectiion peritoneum, and the closing of the splanchnic layer peritoneum are necessary.