再次剖宫产452例临床分析

目的 探讨首次剖宫产术对再次剖宫产术的影响,寻找较好的剖宫产术式.方法 对452例再次行剖宫产术的进腹情况、腹腔黏连情况进行回顾分析,并调查首次手术的有关资料,其中首次新式剖宫产术104例,改良新式剖宫产术348例.结果 再次剖宫产术后再次手术进腹时间为(9.25±2.27)min,腹腔黏连发生率为18.27%;改良新式剖宫产术再次手术进腹时间(7.23±2.21)min,腹腔黏连发生率为9.87%,二者差异均有统计学意义(u=8.016,P<0.05;χ25.57,P<0.05).结论改良新式剖宫产术对再次剖宫产术影响小,值得临床推广.

Clinical analysis of the effects of previous cesarean section on the re-cesarean section in 452 cases

Objective To study previous cesarean section effects on re-eesarean section, and to seek better operation way of cesarean section. Methods The conditions of entrance into abdominal cavity and adhesion of 452 cases of abdominal cavity were retrospectively analyzed. The information about initial operation was investigated, dis-covering 104 cases underwent new type,and 348 cases underwent improved cesarean section. Results Time of en-trance into abdominal cavity once more by new type of cesarean section were (9.25±2.27) min and the incidence of adhesion in abdominal cavity was 18.27%,while time of entrance into abdominal cavity once more by improved cesarean section were (7.23±2.21) min and the incidence of adhesion indominal cavity was 9.87% (u=8.016, P<0.05; χ25.57,P<0.05). Conclusion New type of improved cesarean section has little effect on re-cesarean section, worthing more clinical practice.