腹壁横纵切口对于二次剖宫产影响.docVIP

腹壁横纵切口对于二次剖宫产影响 　　[Abstract] Objective To approach influence of abdominal transverse incision and longitudinal incision for secondary cesarean delivery. Methods The clinical data of 1800 cases with secondary cesarean delivery admitted to Department of Obstetrics， Mianyang Peoples Hospital from January 2012 to January 2015 were analyzed， both groups were taken the original old incision surgery， and they were divided into two groups by primary cesarean delivery way， with 900 cases in abdominal transverse incision group and 900 cases in abdominal longitudinal incision. The fetal childbirth time， operation time， intraoperative blood loss of two groups were observed； the maternal pelvic adhesion， abdominal incision healing of two groups were compared； the neonatal score and family satisfaction of two groups were analyzed. Results The fetal childbirth time [（8.4±2.0） min]， operation time [（34.3±4.5） min]， intraoperative blood loss [（233.8±15.6） mL] of abdominal longitudinal incision group were lower than those of abdominal transverse incision group [（12.5±4.4） min， （39.0±6.0） min， （254.8±21.1） mL]， the differences were statistically significant （P 0.05）， the family satisfaction （95%） of abdominal longitudinal incision group was higher than that of abdominal transverse incision group （70%）， the difference was statistically significant （P 0.05）. Conclusion The secondary cesarean delivery operation after operation by longitudinal incision has high efficiency， less complications， which is helpful for the recovery of puerpera. 　　[Key words] Abdominal transverse incision； Abdominal longitudinal incision； Secondary cesarean delivery； Influence 　　随着医疗技术的不断发展，分娩方式也逐渐增多，剖宫产在临床得到了广泛的应用。其可以替代以往比较困难的阴道助产术，在一定程度上降低新生儿和产妇的死亡比例，成为进行高危妊娠、难产的主要方法[1-2]。随着我国二孩政策的逐渐放开，二次剖宫产比例明显增多，手术切口对于二次剖宫产影响的研究也相应增加。有资料显示[3-4]，因不同因素的影响，促使瘢痕子宫、胎盘粘连、前置胎盘、子宫破裂等风险性事件明显升高。在二次怀孕分娩时子宫破裂发生率增高，因而研究不同手术切口对于二次剖宫产影响显得尤为重要。本研究通过对二次剖宫产产妇的临床资料进行分析，拟探讨腹壁横纵切口对于二次剖宫产的影响，现将结果报道如下： 　　1 资料与方法 　　1.1 一般资料 　　选取2012年1月～201