摘要
目的分析比较足月胎儿高直位行不同切口剖宫产术的临床疗效。方法对2010年1月~2015年10月我院收治的胎儿高直位行剖宫产手术患者52例,根据剖宫产手术切口不同分为两组,对照组22例实施子宫下段横切口剖宫产手术,研究组30例实施子宫下段纵切口剖宫产手术,比较分析两组产妇的手术效果及术后各指标情况。结果两组手术均顺利完成,研究组手术总时间、术中出血量、开腹胎儿娩出时间均明显少于对照组,且研究组新生儿5min Apgar评分明显高于对照组,新生儿窒息率低于对照组,组间比较差异均有统计学意义(均P<0.05)。结论高直位胎儿大多胎头高浮,采取下腹纵切口剖宫产术,可避免腹壁横切口梗阻所致的娩头困难,从而降低手术风险,改善妊娠结局。
Objective To analysis and compare the Curative effect evaluation on carry out cesarean section with different incision to high straight line position of fetus. Methods 52 cases of high straight line position of fetus carry out cesarean section from January 2010 to October 2015,in our hospital,according to different incision of cesarean section was divided into two groups.22 cases of the control group were implementation of cesarean delivery operation with crosscutting incision in lower uterine segment,and the 30 cases of research group were been cesarean section surgery with longitudinal incision in lower uterine segment. Results Two groups of surgery were successfully completed.In the research group the operating time,intraoperative blood loss and time of laparotomy delivery of baby were significantly less than the control group.The neonatal 5 min Apgar score in the research group was significantly higher than the control group,and the neonatal asphyxia rate was lower than the control group.Compare the differences between groups were statistically significant(P<0.05). Conclusion High straight line position of fetus were been cesarean section surgery with longitudinal incision in lower uterine segment can avoid the difficult of deliser head caused by transverse incision in abdominal wall,so as to reduce the operation risk,and improve the pregnancy outcome.
出处
《蛇志》
2017年第4期431-432,510,共3页
Journal of Snake
关键词
子宫下段纵切口
子宫下段横切口
胎儿高直位
剖宫产
longitudinal incision in lower uterine segment
crosscutting incision in lower uterine segment
high straight line position of fetus
cesarean section
