会阴正中切开术和会阴左侧切开术临床效果比较.docVIP

会阴正中切开术和会阴左侧切开术临床效果比较 　　【摘 要】目的：探讨会阴左侧切开术与会阴正中切开术的临床使用效果。方法：观察我院自然分娩的初产妇200例，其中会阴左侧切100例为对照组，会阴正中切100例为观察组，观察产妇术中出血量、切口延伸、缝合时间、术后疼痛难忍程度、切口水肿、产妇的自我感觉及住院时间等情况。结果：会阴正中切开组术中出血量、切口延伸、缝合时间、术后疼痛难忍程度、切口水肿、住院时间明显小于会阴左侧切开组；自我感觉良好者正中切开组明显多于左侧切开组。结论：会阴正中切开术操作简便、出血量少、组织损伤少、术后疼痛轻等优点，适合临床应用，为广大孕产妇减轻了痛苦，是提高产科质量的好方法。 　　【关键词】会阴左侧切开术；会阴正中切开术；临床效果比较 　　【文章编号】1004-7484（2014）06-3923-01 　　【Abstract】Objective： To explore the clinical effect of perineal left episiotomy and median episiotomy. Methods： A total of 200 cases of primipara with natural births were included. 100 cases with perineal left episiotomy were treated as the control group， and the other 100 cases with median episiotomy were included in the observational group. Amount of blood loss during the operation， incision extending， suturing time， the degree of postoperative pain， edema of incision， self feeling of the cases and hospitalization time were compared between the two groups. Results： Amount of blood loss during the operation， incision extending， suturing time， the degree of postoperative pain， edema of incision and hospitalization time were significantly higher in the perineal left episiotomy group relative to the median episiotomy group， and the cases feel much better in the median episiotomy group than the perineal left episiotomy group. Conclusion： Perineal median episiotomy is prior to the left episiotomy because of easy performance， less amount of blood loss and less degree of postoperative pain. Therefore， perineal median episiotomy is a good way to alleviate the pain of the pregnant and improve the quality of obstetrical department. 　　【Keywords】 perineal left episiotomy； median episiotomy； the clinical effect 　　产妇分娩时会阴切开术是临床上常用的一种手术方式，产时会阴切开可以避免不规则的会阴撕裂，预防因强行保护会阴所造成的皮下深部肌肉及盆底筋膜损伤，还可减少盆底及会阴部对儿头的阻抗，对母婴的预后非常有利。最常用的有会阴左侧切开术及会阴正中切开术两种。为探讨这两种会阴切开术的临床使用效果，笔者对某院产科分娩的产妇200例进行会阴直切和侧切的对比，现将结果报道如下。 　　1 资料与方法 　　1.1 临床资料 随机选取2012年1月～2012年12月在我院门诊产前监测条件相同并在我院住院足月分娩的正常初产妇200例，产妇均无内外科严重并发症，估计胎儿体重在3200g以下[1]，有会阴切开指征。其中10