简易腹膜外剖宫产术应用于再次剖宫产疗效观察(1)
 |
| 第1页 |
参见附件(3085KB，3页)。
[摘要] 目的：探讨简易腹膜外剖宫产术应用于再次剖宫产是否有其优越性。方法：对2005年1月～2010年12月再次剖宫产病例进行回顾性分析。151例行简易腹膜外剖宫产术者为实验组，147例行新式剖宫产术者为对照组，对两组手术时间、术中术后出血量、术后胃肠功能恢复、术后病率、新生儿情况等进行对比观察。结果：两组在手术全程操作时间、术中出血量、术后病率、手术并发症、新生儿窒息率、切口愈合情况等方面比较，差异无统计学意义，但术后肛门排气时间实验组为(8.7±2.3) h，对照组为(17.4±3.9) h，两组比较，差异有统计学意义(P<0.05)。结论：对于再次剖宫产患者而言，简易腹膜外剖宫产术较新式剖宫产具有术后胃肠功能恢复快等优点，适于临床推广应用。
[关键词] 简易腹膜外剖宫产；再次剖宫产；并发症；病例对照研究
[中图分类号] R719.8 [文献标识码] A [文章编号] 1673-7210(2011)06(c)-021-03
Clinical observation of the simple extraperitioneal cesarean section in subsequent pregnancy
YANG Huaguang, LI Yi, HE Yurong, ZHAO Hongxi, YIN Guowu
Department of Gynecology and Obstetrics, Tangdu Hospital of the Fourth Military Medical University, Xi′an 710038, China
[Abstract] Objective: To study the application of the simple extraperitioneal cesarean section in subsequent pregnancy. Methods: A retrospective analysis was made to the cases of second cesarean section from January 2005 to December 2010. The observation group included 151 cases using the simple extraperitioneal cesarean section，and the control group included 147 cases using the new-style cesarean section. The time and bleeding in operation, illness and complications after operation, neonatal asphyxia and wound healing were compared in the two groups. Results: There was no significant difference between the time and bleeding in operation, illness and complications after operation, neonatal asphyxia and wound healing. The time of post-operative anus exhausting were (8.7±2.3) h and (17.4±3.9) h, respectively, and there was a significant difference (P<0.05). Conclusion: For the subsequent pregnancy, the simple extraperitoneal cesarean section has many advantages over the new-style cesarean section, such as recovery of gastrointestinal function, and it is suitable for clinical application.
[Key words] Simple extraperitioncal cesarean section; Second cesarean section; Complications; Case-control study
剖宫产、子宫肌瘤剔除术等导致的瘢痕子宫行再次剖宫产术在临床上屡见不鲜，不同的再次剖宫产术式是否影响临床效果是目前产科医生面临的现实问题。2005年1月～2010年12月，笔者对瘢痕子宫行简易腹膜外剖宫产术151例，并与同期瘢痕子宫行新式剖宫产术147例比较，现报道如下：
1 资料与方法
1.1 一般资料
2005年1月～2010年12月我院产科共收治前次剖宫产、子宫肌瘤剔除术等导致的瘢痕子宫行再次剖宫产者298例，第二次手术指征均为瘢痕子宫，予以行简易腹膜外剖宫产术者为实验组，予以行新式剖宫产术者为对照组。实验组151例，行简易腹膜外剖宫产术，其中，143例兼行双侧输卵管结扎术，患者年龄25～40岁，平均28.7岁；孕周33～42周；平均孕产次3.6次，距前次手术时间最长11年，最短3年 ......
您现在查看是摘要介绍页，详见PDF附件(3085KB，3页)。