首次剖宫产行腹壁中线纵切与腹壁横切对术后并发症及再次剖宫产影响.docVIP

首次剖宫产行腹壁中线纵切与腹壁横切对术后并发症及再次剖宫产影响 　　[摘要] 目的 对首次剖宫产行腹壁中线纵切与腹壁横切对术后并发症及再次剖宫产的影响进行探讨。方法 方便选取2013年1月―2014年8月该院行再次剖宫产术的产妇90例，按照产妇首次剖宫产腹壁切口的不同将产妇分为观察组和对照组。观察组产妇首次剖宫产行腹壁中线纵切口，对照组产妇首次剖宫产行腹壁横切。探讨首次剖宫产切口选择对产妇再次行剖宫产术的影响。结果 观察组产妇术后瘢痕发生率为42.22%，腹腔粘连发生率为17.78%，对照组产妇术后瘢痕发生率为80%，腹腔粘连发生率为46.67%，观察组产妇并发症发生情况显著低于对照组（P0.05）；观察组产妇再次剖宫产时，包括手术时间、术中出血量在内的各项手术指标均优于对照组 （P0.05）。 结论 产妇在首次剖宫产时采取腹壁中线纵切的方法，可以有效减少并发症的发生率、提高再次剖宫产的质量和安全性。 　　[关键词] 首次剖宫产；纵切；横切；影响 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2016）03（c）-0084-02 　　Effect of Abdominal Midline Longitudinal Section and Abdominal Transection in Treatment of the First Cesarean Section on the Postoperative Complications and Repeat Cesarean Section 　　LIU Rui-min 　　Department of Obstetrics and Gynecology， Zhoukou Central Hospital of Henan Province， Zhoukou，Henan Province，466000 China 　　[Abstract] Objective To discuss the effect of abdominal midline longitudinal section and abdominal transection in treatment of the first cesarean section on the postoperative complications and repeat cesarean section. Methods 90 cases of puerperas receiving the repeat cesarean section in our hospital from January 2013 to August 2014 were selected and divided into two groups according to the different abdominal incisions of puerperas in the first cesarean section， the observation group were given abdominal midline longitudinal section in the first cesarean section， the control group were given abdominal transection in the first cesarean section， the effect of the choice of incision in the first cesarean section on the repeat cesarean section of puerperas was discussed. Results The incidence rates of the postoperative scars and abdominal adhesion were respectively 42.22% and 17.78% in the observation group and 80% and 46.67% in the control group， the occurrence of complications in the observation group was obviously lower than that in the control group， （P0.05）， the various operative indexes including the operation time and intraoperative blood loss in the observat