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90例剖宫产子宫切口撕裂的临床分析及防治
引用本文:叶飞君,吕杰强. 90例剖宫产子宫切口撕裂的临床分析及防治[J]. 中国妇幼保健, 2010, 25(8)
作者姓名:叶飞君  吕杰强
作者单位:温州医学院附属第二医院妇产科,浙江,温州,325027
摘    要:目的:探讨剖宫产子宫切口撕裂的原因及防治措施。方法:回顾性分析2007年1月~2009年6月行剖宫产术1633例,其中切口撕裂90例。结果:枕后位切口撕裂率最高(63.33%),胎头深固者切口撕裂率最高(65.56%),体重大于4000g的胎儿子宫切口撕裂率明显高于体重低于4000g者,子宫下段形成差者切口撕裂率高。结论:医生熟练掌握剖宫产手术指征,做好日常监护工作,把握手术最佳时机,能有效避免出现剖宫产子宫切口撕裂。

关 键 词:剖宫产  子宫下段横切口  撕裂伤

The clinical analysis and prevention of 90 cases of uterine incision lacerated wound in cesarean
YE Fei-Jun,LV Jie-Qiang. The clinical analysis and prevention of 90 cases of uterine incision lacerated wound in cesarean[J]. Maternal and Child Health Care of China, 2010, 25(8)
Authors:YE Fei-Jun  LV Jie-Qiang
Affiliation:YE Fei-Jun,LV Jie-Qiang. Department of Obstetrics , Gynecology,the Second Hospital Affiliated to Wenzhou Medical College,Wenzhou 325027,Zhejiang,China
Abstract:Objective:To explore the reasons of tearing the uterine-incision in cesarean and the control measures. Methods:1 633 cases of cesarean were retrospectively analyzed in our hospital in January 2007 ~ June 2009, 90 of them were lacerated wound of uterine-incision.Results:The rates of uterine-incision lacerated wound were 63.33% in accipitoposteriror position and 65.56% when the fetal head were deep-solid. The rate of uterine-incision lacerated wound was significantly higher when the fetal body >4 000 g than t...
Keywords:Cesarean section  Lower uterine segment horizontal incision  Lacerated wound  
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