摘要
目的 探讨腹膜外剖宫产术改进方法的价值。 方法 对 12 0例孕妇施行了改进的侧入法腹膜外剖宫产术 (改进组 ) ,并对同期 10 6例孕妇施行了经典的侧入法腹膜外剖宫产术 (侧入组 ) ,观察两组的分离腹膜时间、手术总时间、出血量、产钳助产率、手术副损伤、术后病率及膀胱侧窝血肿情况。 结果 与侧入组比较 ,改进组分离腹膜时间、手术总时间 (P <0 .0 1和P <0 .0 5 ) ,无一例产钳助产 (P <0 .0 1) ,手术副损伤少 (P <0 .0 5 ) ,而手术出血量、术后病率及膀胱侧窝血肿情况在两组间无差别 (P >0 .0 5 )。 结论 改进的侧入法腹膜外剖宫产术简单、快速、易学 。
ObjectiveTo investigate the advantage of improved extraperitoneal cesarean section. Methods 120 pregnant women who had indication for cesarean section were performed improved extraperitoneal cesarean section (group 1) from Feb. 1998 to Jun. 1999, and 106 pregnant women were performed classical extraperitoneal cesarean section (group 2) at the same period. The time of revealing vesical peritoneal reflection, overall time of operation, amount of blood loss, used rate of forceps, injury of peritoneum, and postoperative morbidity of the two groups were compared. [WT5”HZ] Results[WT5”BZ] Group 1 had a shorter time of revealing uterovesical peritoneal reflection (3.3min versus 7.8min, P<0.01), a shorter overall time of operation (42.2min versus 51.3min, P<0.05), a lower use rate of forceps (0% versus 5.66%, P<0.01), and injury of peritoneum (1.67% versus 8.49%, P<0.05) when were compared with those of group 2, there is no significant difference in the amount of blood loss (273.2ml versus 281.5ml, P>0.05) and the postoperative morbidity (4.17% versus 6.60%, P>0.05) between both groups.Conclusion Improved extraperitoneal cesarean section is a simple, fast, and easy-to-master operative proceduce, and especially suitable for those cases who have a bad formation of lower uterine segment.
出处
《中国现代手术学杂志》
2000年第3期206-208,共3页
Chinese Journal of Modern Operative Surgery
