不同腹膜缝合方案产妇剖宫产后盆腹腔粘连状况对比.docVIP

不同腹膜缝合方案下产妇剖宫产后盆腹腔粘连状况对比 　　【摘要】目的：探讨不同腹膜缝合方案下产妇剖宫产后粘连状况。方法：回顾性分析2008年1月至2014年6月340例再次实施剖宫产的妇女的临床资料，按照不同腹膜缝合方式分为：下腹横切口组和下腹纵切口组，下腹横切口组又分为腹膜不缝合组（38例）、腹膜连续缝合组（33例）和腹膜外翻缝合组（36例）；下腹纵切口组分为腹膜连续缝合组（47例）和腹膜外翻缝合组（186例）。对比各组的剖宫产后粘连情况和伤口愈合情况。结果：下腹横切组中腹膜外翻缝合组的粘连发生率为12.5%，显著低于腹膜不缝合组的57.9%（χ2=17.517，P =0.000）和腹膜连续缝合组的54.5%（χ2=14.739，P =0.000）；下腹纵切组中腹膜外翻缝合组的粘连发生率为5.4%，显著低于腹膜连续缝合组的53.2%（χ2=66.911，P =0.000）；下腹横纵切产妇中208例腹膜外翻缝合组的粘连发生率为6.7%，显著低于腹膜连续缝合组的53.8%，差异具有统计学意义（χ2=86.164，P =0.000）。各组之间的愈合较好率差异无统计学意义（P0.05）， 腹膜外翻缝合组和腹膜连续缝合组的愈合良好率分别为78.8%和67.5%，显著高于腹膜不缝合组的34.2%，差异具有统计学意义（P中国论文网 /6/viewhtm　　【关键词】腹膜缝合；剖宫产；粘连 　　【Abstract】Objectives： To investigate the maternal cesarean section postpartum adhesion of different peritoneal suture schemes. Methods： Retrospective analysis of the clinical data of 340 women received cesarean section again from January 2008 to June 2014 was conducted and according to the different peritoneal suture methods divided into： lower abdominal transverse incision group and abdominal longitudinal incision group， while lower abdominal transverse incision group was further divided into peritoneal non-suture group （38 cases）， peritoneum continuous suture group （33 cases） and peritoneal suture group （36 cases）； and abdominal longitudinal incision group was further divided into peritoneal continuous suture group （47 cases） and peritoneal suture group （186 cases）. The cesarean adhesion and wound healing condition of different groups were compared. Results： The adhesion rate of peritoneal suture group within lower abdominal transverse incision group was 12.5%， significantly lower than that of peritoneal non-suture group of 57.9%（χ2=17.517，P =0.000） and peritoneal continuous suture group of 54.5%（χ2=14.739，P =0.000）； the adhesion rate of peritoneal suture group within abdominal longitudinal adhesion group was 5.4%， significantly lower than that of peritoneum continuous suture group of 53.2%（χ2=66.911，P =0.000）； the adhesion rate of peritoneal suture group within bot