腹膜外剖宫产术128例的临床体会

目的探讨腹膜外子宫下段剖宫产术的优越性。方法对128例行腹膜外子宫下段剖宫产术者（观察组）和128例行腹膜内子宫下段剖宫产术者（对照组）的临床资料进行回顾性分析。结果两组术中出血量、从切皮到取出胎儿的时间、总手术时间、新生儿评分情况差异均无显著性（P〉0．05），术后肛门排气时间、下床活动时间、抗生素应用时间、住院时间、术后病率、切口甲级愈合情况两组差异有显著性（P〈0．05）。结论腹膜外子宫下段剖宫产术未进行腹腔内操作，避免了腹腔黏连、肠梗阻，并发症少，术后胃肠恢复快，操作简单，对于再次剖宫产患者优越性更大，值得临床推广应用。

The clinical analysis of 128 cases of extraperitoneal cesarean section

Objective To explore the advantages of extraperitoneal cesarean section. Methods 128 cases of extrperitoneal cesarean section （extraperitoneal group）and 128 cases of conventioneal intraperitoneal cesarean section （intraperitoneal group）were compared. Results The preoperative blood, the time from a skin incision to the baby delivered, the total operative time and neonatal Apgar scores of two groups were compared, there was no significant difference（P 〉 0.05）. While the exhaust time after the operation, ambulation time, postoperative antibiotic time, postoperative hospital, illness and complications after operation had significant difference（P〈 0.05）. Conclusions There is no abdominal operations, no bowel adhesion and bowel abstruction, little complications, faster recovery of gastrointestinal function, and the operation method is simple to master, such as recovery of gastroiutestinal function. It＇s suitable for clinical application.