【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。更多还原

【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.更多还原