小角度改良式会阴侧切术125例临床观察

目的：探讨经阴道分娩初产妇在分娩过程中不同角度会阴侧切的效果。方法：抽取经阴道分娩初产妇250例,随机分为两组,每组125例。胎儿娩出期,对照组采用传统的45°角行会阴侧切,观察组采用30°角会阴侧切,术后两组产妇皆用强生肠线皮内缝合。术后观察产妇的伤口疼痛情况及愈合情况。结果：观察组产妇产后1～3d会阴肿胀、疼痛情况比对照组轻,伤口Ⅰ、Ⅱ期愈合率为98.4%;而对照组疼痛较明显,Ⅰ、Ⅱ期愈合率为92.8%,两组相比,差异有统计学意义,P〈0.05。结论：施行30°会阴侧切,可减轻术后伤口肿胀疼痛,降低伤口感染,提高伤口愈合率。

The clinical observation of 125 patients with small-angle modified episiotomy

Objective： To study the vaginal delivery during childbirth in early maternal different angles the effect of episiotomy. Methods： Approach taken by vaginal delivery early maternal 250 eases were randomly divided into two groups, each 125 cases. Fetus stage, the control group used the traditional 45° angle line episiotomy, observation group were given 30° angle episiotomy, two groups of puerpera were sutured using intradermal Johnson catgut after operation. Observed maternal postoperative wound pain and healing eonditions. Results： The group of puerpera 1-3 days postpartum perineal swelling, pain, were more light than that in the control group, wound stage I , II healing rate was 98.4%; while the control group pain was obvious, I , II healing rate was 92.8%, two-phase ratio, the difference was significant, P〈0.05. Conclusion： 30° episiotomy implemented can reduce postoperative wound pain, swelling, decrease wound infection and improve wound healing rate.