摘要
目的 :为探讨巨大胎儿腹膜外剖宫产术 (extraperitoneal cesarean section,EPCS)的临床应用。方法 :用笔者施行的EPCS2 3例与随机抽取同期巨大胎儿子宫下段剖宫产术 40例做对照 ,进行回顾性对比分析。结果 :两组总手术时间、术中出血量、胎儿体重及术后病率差异不显著。切皮至取儿时间 EPCS比下段剖宫产术延长极明显。两组剖宫产儿全部存活 ,均无手术副损伤 ,产妇腹壁切口均 期愈合。母儿平安出院。结论 :巨大胎儿可以作为 EPCS的相对手术指征。
Objective To study the clinical application of extraperitoneal cesarean secton(EPCS)for macrosomia.Method The compartive analysis was taken in 23 EPCS for macrosomia operated by author and 40 IPCS for macrosomia selected at random.Results There were no significant difference between two groups in the duration from incising skin to fetching out fetus is significantly longer in EPCS group than that in IPCS group.Newborn infants were all alive and there were no operatal damages between two groups.The incision healed in stage 1 in all patients.Conclusion Macrosomia can be regarded as a relevant sign for EPCS.
出处
《吉林医学》
CAS
2000年第6期331-332,共2页
Jilin Medical Journal
