两种新式剖宫产术式腹腔粘连的临床观察及比较分析

目的探讨改良新式剖宫产术、新式剖宫产术腹腔粘连情况。方法选择2005年1月—2008年1月在我院行第二次剖宫产手术,而既往曾在我院行剖宫产术的孕妇共200例（其中新式剖宫产术100例、改良新式剖宫产术100例）,进行术中观察并做回顾性分析,比较其腹腔粘连的情况。结果改良新式剖宫产术腹腔粘连轻,粘连发生率为22%;新式剖宫产术腹腔粘连重,粘连发生率为58%。两者比较有统计学意义（P均〈0.05）。结论改良新式剖宫产术缝合腹膜能够降低腹腔粘连的发生,而不缝合腹膜,发生粘连的机会更多,严重者肠管、膀胱都可粘连,给第二次开腹造成一定困难。

The Reviewed Comparison of Two Kinds of New-style Cesarean Section in Intra-abdominal Adhesions

OBJECTIVE To investigate the abdominal adhesions in two kinds of new-style cesarean section. METHODS 200 cases of the second cesarean section （the cesarean section of 100 cases were given the new-style cesarean section, the other 100 cases were given the modified new-style cesarean section） were selected, which were hospitalized during January 2005 to January 2008 in our hospital. Then the therapeutic effect were analyzed through the the reviewed comparison. RESULTS The adhesion incidence of modified new-style cesarean section was light （22%）, and that of new-style cesarean section was higher （58%）, there was a significant difference between two groups （P〈0.05）. CONCLUSION Modified new style cesarean section can reduce peritoneal adhesion, without suturing peritoneum, the occurrence of the peritoneal suturing are more higher, that caused a higher difficulties in the second cesarean section.