【摘要】 目的研究不同术式剖宫产对产妇的影响。方法组1(50例),皮肤横切口不缝腹膜的新式剖宫产术。组2(48例),皮肤横切口缝合腹膜的常规剖宫产术。组3(36例)皮肤纵切口的腹膜外剖宫产术;3组手术分别进行比较。结果胎儿娩出时间组1<组2<组3(P<0.01),手术时间组1<组2<组3,(P<0.01)。术中出血量组1<组2≈组3,(P<0.01,p>0.05)。术后肛门排气时间组1<组3<组2,(P<0.01)。术后疼痛率组1≈组2<组3(,P>0.05,P<0.01)。术后病率组3<组1<组2(,P<0.01)。切口感染组3<组1≈2(,P<0.01,P>0.05)。术后排尿困难组1<组2<组3(P<0.01),术中膀胱损伤组2<组1<组3(P<0.01)。结论新式剖宫产术具有手术时间短,出血量少,术后肠功能恢复快,疼痛少的特点,值得推广。腹膜外剖宫产术能明显降低术后病率及切口感染率,是剖宫产术的必要补充。更多还原

【Abstract】 Objective To study the influence of different operational methods of caesarean section on maternity.Methods Group I (50 cases): hypogastrium horizontal incision non-closure peritoneum, The Misgav-ladach-method caesarean section. Group II (48 cases):hypogastrium horizontal incision closure peritoneum,The conventional caesarean section. Group III (36 cases): hypogastrium vertical incision, The extraperitoneal caesarean section.Results A comparative study of the above three groups reveals findings as follows:Time of fetus delivery,Group I <Group II <Group II(IP<0.01);Operational time, Group I<Group II <Group III(P<0.01).Bleeding volume of operation, Group I<Group II<Group II(IP<0. 01, P>0.05).Postoperative anus exsufflation,Group I <Group III <Group I(IP<0.01). Postoperative pains, Group I<Group II <Group III(P>0.05,P<0.01). Postoperative morbidity, Group III <Group I <Group II(P<0.01).Incisional infection, Group III <Group I<Group I(IP<0.01,P>0.05). Postoperative dysuria, Group I <Group II <Group III(P<0.01).Bladder injury, Group II <Group I<Group II(IP<0. 01).Conclusions The Misgav-ladach-method caesarean section is featured with short operational time, less bleeding volume during operation, quicker recovery of gastrointestinal tract functions and less pains on patients. The extraperitoneal caesarean section,as a necessary supplement to caesarean delivery, can obviously reduce postoperative morbidity and incisional infection rate.更多还原