腹部横切口与纵切口对再次剖宫产术的影响

   
    【摘要】  [目的]探讨不同术式的剖宫产术对再次剖宫产术的影响。[方法]对156例再次剖宫产术术中情况进行回顾性分析总结，对比开腹至胎儿取出时间、开腹出血量、腹壁及盆腹腔粘连情况，比较第一次剖宫产术不同术式对再次手术的影响。[结果]腹壁纵切口剖宫产术再次手术从手术开始至胎儿娩出时间、开腹出血量、腹壁及腹腔粘连程度与腹壁横切口剖宫产术比较差异有统计学意义(P<0.05)。[结论]腹璧纵切口剖宫产对再次剖宫产影响小于腹壁横切口，严格掌握剖宫产指征，视具体情况选择最佳手术方案，对可能需再次手术的患者选择腹壁纵切口、子宫下段横切口剖宫产手术更适宜。
    
    【关键词】  剖宫产;腹壁横切口;腹壁纵切口;手术时间;开腹出血量;盆腹腔粘连
    
    Abstract：[Objective]To explore the effect of different operations on recesarean section.[Method]Make retrospective analysis and summary on 156 cases of recesarean section，compare fetus takingout time，bleeding amount，abdominal wall and cavity viscidity，and observe the effect of first cesarean section on reoperation.[Result]There’s marked difference of statistical meaning between both operations on the indexes above.[Conclusion]The longitudinal incision has less influence on recesarean section than transverse incision;strictly grasp cesarean section indication，choose best operation based on details;it is better to choose longitudinal incision and transverse incision of lower part of uterus for those needing second operation.
    
    Key words：reces……………………………………………………………

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