摘要
目的探讨改良式剖宫产术的临床价值。方法于下腹部两髂前上棘连线下２～３ｃｍ处做横行直切口，钝性分离脂肪层及腹直肌，横向撕开腹膜，肠线单层连续缝合子宫肌层，不缝合腹膜，肠线连续缝合筋膜及间断全层缝合皮肤及皮下组织。并与同期腹部横弧形切口剖宫产术进行比较。结果改良式手术时间短，术中出血量少，术后排气时间缩短、疼痛轻、病率低，住院时间短。与对照组比较差异有显著性（Ｐ＜００５）。结论改良式剖宫产术手术时间短，术后并发症少，住院时间短，值得临床推广应用。
Objective\ To explore the clinical value of modified cesarean section. Methods\ A transverse straight incision was performed at lower abdomen 2-3 cm below the level of anterior superior iliac spine, the fat layer and musculus rectus abdominis were seperated bluntly, the peritoneum was torn transversely. Muscular layer of uterus was sutured continuously by catgut,while peritoneum wasn't sutured. Fascia layer was sutured continuously by catgut, and then skin and subcutaneous tissue were sutured interruptedly. We compared the modified cesarean section with cesarean section with transverse arc incision at lower abdomen at the same period. Results\ The modified cesarean section had advantages of shorter operative time, less blood loss during operation; shortening of exsufflation time, slight pain and low sickness rate after operation; and less days in hospital. The difference was significant as compared with the control group ( P <0 05). Conclusions\ Modified cesarean section should be spread in clinic for its advantages of shorter operative time, less postoperative complications and less days in hospital.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
1999年第3期170-172,共3页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
手术后并发症
改良
剖腹产
术式
Cesarean section Postoperative complications Modified operation
