再次剖宫产术的临床分析

目的 探讨首次剖宫产时不同手术方式对再次剖宫产的影响.方法 对再次剖宫产病例进行回顾性分析,其中新式剖宫产组100例(A组),传统子宫下段剖宫产组86例(B组),对比两组腹腔粘连程度、开腹至胎儿娩出时间、手术总时间、术中出血、术后排气时间.结果 新式剖宫产组与传统子宫下段剖官产组相比,腹腔粘连严重,开腹至胎儿娩出时间、手术总时间长,术中出血多,术后排气时间长,差异性显著(P<0.05).结论 新式剖宫产再次手术,腹腔粘连严重,术中出血多,术后恢复差;传统子宫下段剖宫产手术切口创伤小,再次手术操作简单,进腹时间短,对有二胎指标可能再次行剖宫产手术者是一种明智选择.

Clinical Analysis of Caesarean Operation for the Second Time

Objective Discussing the impact of the first various cesarean section types to the second cesarean section. Methods The cases of second eesarean scetion were reviewed and analyzed, the new type cesarean section is 100 eases(group A) ,the traditional surgery for low-er uterine cesarean section is 86 cases(group B), comparing tow abdominal surgery adhesion, the time from open to have fetus takeout,opera-tive time,bleeding and postoperative exhaust time. Results Cesarean section patients compard with tradition lower uterine segment cesarean section patients,abdominal adhesions is more severe,the time from open to have fetus takeout,operative time is longer,the average blood is more and postoperative exhaust time is longer(P < 0.05). Conelusion Repeated cesarean section surgery of abdominal adhesion and bleeding is more, poor recovery after surgery. The traditional surgery for lower uterine cesarean section has light surgical trauma, short time before deliv-ery, and make reoperation easier.Therefore, for those who may have the second births, it is worthy to be chose.