| 剖宫产术后二次剖宫产盆腔粘连对比研究 |
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| 引用本文： | 刘艳平.剖宫产术后二次剖宫产盆腔粘连对比研究[J].医药论坛杂志,2010(8). |
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| 作者姓名： | 刘艳平 |
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| 作者单位： | 河南省安阳市妇幼保健院妇产科; |
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| 摘 要： | 目的探讨Stark式剖宫产术后盆腔粘连情况,以改进手术方式,减少并发症。方法对300例二次剖宫产术中粘连情况进行比较。其中Stark式剖宫产术后二次剖宫产113例(A组),下腹纵切口子宫下段剖宫产术后二次剖宫产89例(B组),在Stark式剖宫产的基础上缝合腹膜,子宫膀胱反折腹膜术后二次剖宫产98例(C组)。比较3组患者腹壁切口愈合情况,以及腹膜、大网膜、膀胱子宫反折腹膜愈合粘连情况。结果腹壁切口愈合良好,瘢痕纤细:A组76.11%(86/113),B组23.59%(21/89),C组83.67%(82/98)。大网膜、腹膜、膀胱反折腹膜粘连:A组粘连率70.79%(80/113),以子宫下段与腹壁下段粘连为主。B组31.46%(28/89)以大网膜与腹壁腹膜切口处粘连为主。C组21.42%(21/98)。以大网膜与腹壁腹膜切口处粘连为主。腹壁切口愈合情况:A组、C组明显优于B组,差异有统计学意义(P<0.05),A组与C组比较差异无统计学意义(P>0.05);腹膜、大网膜、膀胱反折腹膜粘连情况:A组比B组、C组粘连明显严重,差异有统计学意义(P<0.05)。结论下腹横切口愈合方面明显优于下腹纵切口。不缝合腹...
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| 关 键 词： | Stark剖宫产 二次手术 粘连 |
Comparison of Pelvic Cavity Adhesion after Different Types of C-section |
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| LIU YanpingWoman , Child Hospital of Anyang City,Anyang ,China.Comparison of Pelvic Cavity Adhesion after Different Types of C-section[J].Journal of Medical Forum,2010(8). |
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| Authors: | LIU YanpingWoman Child Hospital of Anyang City Anyang China |
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| Institution: | LIU YanpingWoman , Child Hospital of Anyang City,Anyang 455000,China |
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| Abstract: | Objective To analyze the adhesion of pelvic cavity after different c-section types.Methods A retrospective analysis of the secondary c-section was performed.Group A Stark c-section(n=113),Group B was the longitudinal incision c-section(n=89),and Group C sutured the omentum,peritoneum and visceral peritoneum on the basic of Stark c-section(n=98).Results The rate of good abdominal incision healing and slender scar was 76.1%(86/113) in group A,23.6%(26/89)in group B,and 83.7%(82/98) respectively.The rate of ad... |
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| Keywords: | Stark c-section Reoperation Adhesion |
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