改良腹膜外剖宫产术和改良子宫下段剖宫产术比较

目的：探讨改良式腹膜外剖宫产术与改良式子宫下段剖宫产术的术后情况。方法对2009年1月~2012年12月河南省登封市中医院行两种术式剖宫产的患者，进行回顾性分析，比较其手术时间、术后情况。结果观察组和对照组体温升高再恢复至正常时间分别为（18.8±2.6）h、（20.6±3.0）h，差异有统计学意义（P＜0.01）；通气时间分别为（16.25±9.25）h、（22.32±10.50）h，显著缩短（P＜0.01）；术后外周血白细胞计数分别为（6.5±1.6）×109/L、（7.1±2.3）×109/L，差异有统计学意义（P＜0.05）；术后镇痛药物应用比例分别为20（20%）、60（60%），差异有统计学意义（P＜0.01）。结论改良式腹膜外剖宫产术术后情况优于改良式子宫下段剖宫产术，改良式腹膜外剖宫产术值得推广。

Comparison between modified extraperitoneal cesarean section and modified lower uterine segment cesarean section

Objective To discuss the postoperative situation of modified extraperitoneal cesarean section and modified lower uterine segment cesarean section. Methods The patients done two methods of cesarean section in Dengfeng Hospital of Traditional Chinese Medicine of Henan Province during January 2009 to December 2012 were retrospectively analyzed, and the operation time, postoperative situation of the two groups were compared. Results The differences were statistically significant in the body temperature returning to normal time, duration of ventilation, peripheral white blood cell count after operation and proportion of analgesic drugs after operation between the observation group and the control group（18.8±2.6）h, （20.6±3.0）h（P〈0.01）;（16.25±9.25）h, （22.32±10.50）h（P〈0.05）;（6.5±1.6）×10 9/L, （7.1±2.3）×10 9/L（P〈0.05）;20（20%）, 60（60%）（P〈0.01）]. Conclusion The postoperative situation of modified extraperitoneal cesarean section is better than that of modified lower uterine segment cesarean section, which is worthy of promotion.