【摘要】 目的探讨腹膜外子宫下段剖宫产术的优越性及可行性。方法选择我院收治的100例孕妇为研究对象,采用随机数字表法将其分为观察组(腹膜外子宫下段剖宫产术)和对照组(腹膜内子宫下段剖宫产术),每组50例。比较两组孕妇术中情况及术后情况。结果观察组切皮至胎儿取出时间长于对照组,一过性血尿发生率高于对照组(P<0.05);观察组术后腹痛程度、肛门排气时间、产褥病率及开奶时间均优于对照组(P<0.05)。结论腹膜外子宫下段剖宫产术保持了腹膜的完整性,术后腹痛程度轻,肛门排气时间及开奶时间早,且产褥病率低。更多还原

【Abstract】 Objective To investigate the superiority and feasibility of extraperitoneal caesarean section of lower uterus.Methods A total of 100 cases of pregnant women admitted in our hospital were divided into observation group(extraperitoneal cesarean section of lower uterus) and control group(intraperitoneal cesarean section of lower uterus) by random number table method, with 50 cases in each group. The intraoperative and postoperative conditions of pregnant women in the two groups were compared. Results The time from skin incision to fetal removal in the observation group was longer than that in the control group, and the incidence of transient hematuria was higher than that of the control group(P<0.05). The degree of postoperative abdominal pain, time of anal exhaust, puerperal morbidity and time of opening milk in the observation group were better than those in the control group(P<0.05). Conclusion Extraperitoneal cesarean section of lower uterus maintains the integrity of peritoneum, postoperative abdominal pain degree is mild, the anal exhaust time and initial breast feeding time are early, and the puerperal morbidity is low.更多还原