【摘要】 目的:探讨剖宫产术对子宫复旧的影响。方法:对650例剖宫产妇女于术后测量子宫底下降高度,计算宫底下降速度,观察恶露持续时间,行常规超声检查了解子宫复旧情况,并与同期自然分娩的580例妇女进比较。结果:产后5d内宫底平均下降速度两组差异有统计学意义,自然分娩组子宫底下降速度最快(P<0.05);剖宫产组术后恶露42d内消失者占61.8%,少于自然分娩组(92.4%);产后5、30、42dB超测子宫三径之和,差异有显著性意义(P<0.05);产后42d剖宫产组、自然分娩组宫腔积液发生率分别为38.2%和7.6%,子宫复旧不良发生率分别为12.62%和8.62%,差异有显著性意义(P<0.05)。结论:剖宫产术后子宫复旧有其自身的规律,但较自然分娩者子宫复旧速度慢,应严格掌握剖宫产指征,减少不必要的剖宫产。更多还原

【Abstract】 Objective:To investigate the effect on uterine involution in caesarean section.Methods:1230 cases of primipara were divided into group A(cesarean section,n=650),group B(spontaneous delivery,n=580),measuring the level of uterine fundus,descending speed of uterine fundus,observing the duration of lochia,routinely screening of uterine involution.Results:There was significant t difference between the two groups with regard to the average decending speed of uterine fundus within 5 days after delivery,group B was superior to group A;After 42 days,The cases whose lochia disappeared were 61.8%and 92.4%in group A and group B in turn;The day 5,30 and 42 ultrasound measurement of uterine volum,showing significant difference(P<0.05);Fluid accumulation in the cavity of uterus occurred in 38.2%,7.6%and uterine involution badly cases were 12.62%,8.62%in group A and group in turn(P<0.05);Conclusion:There are own rule on uterine involution after Cesarean section compared with spontaneous delivery,whereas still inferior to that of spontaneous delivery.We should control the indication of caesarean section and decrease unnecessary caesarean section.更多还原