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腹壁横切口剖宫产子宫切口单层缝合与双层缝合的疗效对比

The Comparison between One-layered Suture and Two-layered Suture of Uterus in Low Segment Cesarean Section

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【作者】 李虹赵忠桢徐虹

【Author】 LI Hong,ZHAO Zhongzhen,XU Hong Department of Obstet & Gynecol, Tianjin First Central Hospital 300192

【机构】 天津市第一中心医院妇产科天津市第一中心医院妇产科 300192300192

【摘要】 目的:观察改良子宫下段横切口双层缝合为单层缝合,是否缩短手术时间。方法:将510例初次剖宫产产妇分为观察组及对照组,并分别于产后42、60及90天行B超检查。结果:(1)观察组平均手术时间(43.84±4.73)分,比对照组(51.09±4.85)分短(P<0.01)。(2)术后病率观察组为1.5%,比对照组7.1%低(P<0.01)。(3)产后42、60及90天B超检查,子宫切口A型愈合情况观察组明显优于对照组。结论:对子宫下段切口整齐,解剖清晰,较薄者,采用单层缝合法,损伤下段组织少,异物少,不影响切缘血液循环,有利于切口愈合。

【Abstract】 Objective:Using modified transverse incision with one-layered suture in low segment cesarean section in order to short-en operation time. Methods: Dividing 510 primigravida determined to have cesarean section into study group and control group, all accepting B-scan 42,60,90 days after delivery. Results: (1) The average operation time in study group was (43.84 ±4.73) minutes,shorter than that in control group, which was (51.09±4.85) minutes (P<0.01). (2)Postoperation morbidity in study group was 1.5% ,lower than that in control group,which was 7.1% (P<0.01). (3)B-scan 42,60,90 days after delivery showed that A-type heal of uterine incision in study group was better than that in control group. Conclu-sion :Transverse incision with one-layer suture is preferable to two-layer suture in selective patients.

  • 【文献出处】 天津医药 ,Tianjing Medical Journal , 编辑部邮箱 ,2000年03期
  • 【分类号】R719.82
  • 【被引频次】10
  • 【下载频次】28
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