摘要
目的:探讨改良新式剖宫产与新式剖宫产术后再次手术的盆腹腔及腹壁粘连的情况,以通过改良手术方式减少其发生率。方法:采取回顾性分析方法,剖宫产术后2次开腹手术患者124例,分为观察组(改良新式剖宫产)52例,对照组(新式剖宫产)72例,比较两组盆腹腔、腹壁粘连情况。结果:两组病例均有不同程度粘连,术后腹壁盆腹腔粘连观察组25例,发生率为40.08%,对照组61例,发生率为84.72%,观察组发生率较对照组低,两组比较差异有统计学意义(P<0.01)。结论:新式剖宫产导致盆腹腔及腹壁粘连较改良新式剖宫产严重。要减少盆腹腔及腹壁粘连应不断改进手术方法,减少术中不必要的干预和操作,保证组织血供,避免体内异物产生。
Objective：To explore the adhesive status of abdominal cavity and pelvic cavity in the second surgery after new cesarrean section or revised new cesarrean section,and to improve the operative method. Methods： Retrospectively analyzed clinic data of 124 cases with abdomen opening for twice. Divided them into obsevation group with revised new cesarrean section （n=52） and control group with new cesarrean section （n=72）. Compared the adhesive status of abdominal cavity and pelvic cavity. Results： Both groups showed adhesion at different degree, including 25 cases in observation group （40.08%） and 61 cases in control group （84.72%）. The incidence was significantly lower in observation group （P 〈0.01 ）. Conclusion： The adhesive status in new cesarrean section is more severe. To decrease adhesion occurrence, the operative method should be improved, all unnecessary intervention and process should be reduced to guarantee the blood supply and avoid the foreign body.
出处
《海南医学院学报》
CAS
2009年第12期1601-1602,1605,共3页
Journal of Hainan Medical University
基金
海南医学院科研基金资助学报项目(0020090286)~~
关键词
剖宫产术
粘连
再手术
Cesarrean section
Adhesion
Reoperation
