剖宫产术后不同时期子宫瘢痕部位愈合相关指标的表达.docVIP

剖宫产术后不同时期子宫瘢痕部位愈合相关指标的表达 　　【摘要】 目的：研究及观察剖宫产术后不同时期子宫瘢痕部位愈合相关指标的表达情况。方法：选取2003年1月-2015年3月的86例剖宫产妇女为观察组，并取同时期的86例顺产妇女为对照组，然后将对照组正常肌层和观察组瘢痕肌层愈合相关指标进行分别检测及比较，并比较观察组中不同产后年份者的愈合相关指标表达情况。结果：观察组的瘢痕肌层愈合相关指标阳性表达率均明显高于对照组正常肌层的表达情况，而观察组中产后1年及1～3年者的阳性表达率明显高于其他时间者，差异均有统计学意义（P0.05）。结论：剖宫产术后不同时期子宫瘢痕部位愈合相关指标的表达呈现一定的变化，应早期加强对创面愈合方面的监测及干预。 　　【关键词】 剖宫产； 不同时期； 子宫瘢痕部位； 愈合相关指标 　　中图分类号 R719.8 文献标识码 B 文章编号 1674-6805（2016）5-0017-03 　　【Abstract】 Objective：To study and observe the expression situation of healing related indexes of uterine scar sites at different periods after cesarean section.Method：86 women with cesarean section from January 2003 to March 2015 were selected as the observation group，86 women with natural labour at the same time were selected as the control group，then the healing related indexes of the control group with normal muscle layer and the observation group with uterine scar muscle layer were detected and compared，and the healing related indexes expression situation of observation group uterine scar sites at different postpartum years were compared too.Result：The healing related indexes positive expression rates of uterine scar muscle layer in the observation group were all obviously higher than those of normal muscle layer in the control group，and the positive expression rates of the observation group at postpartum 1 year and 1 to 3 years were obviously higher than those at other times，the differences were significant（P0.05）.Conclusion：The expression of healing related indexes of uterine scar sites at different periods after cesarean section show certain change，and the monitoring and intervention of wound healing should be strengthened at the early stage. 　　【Key words】 Cesarean section； Different periods； Uterine scar sites； Healing related indexes 　　First-author’s address：Shenzhen Longhua New District Central Hospital，Shenzhen 518110，China 　　doi：10.14033/j.cnki.cfmr.2016.5.008 　　剖宫产产后子宫创面愈合是一个较长的过程，而影响创面愈合的指标较多，对这些指标的变化监测有助于早期的有效干预，为子宫创伤愈合干预措施的制定奠定基础。临床中与肌