不同剖宫产手术方式对二次剖宫产孕妇的影响研究

摘要

Objective To study the inlfuence of surgical methods for repeated cesarean section.Methods 150 cases of pregnant women with repeated cesarean section from January 2012 to December 2014 were selected as the study objects. According to all pregnant women for the first time cesarean way into group A, B and C of 50 cases. Group A of pregnant women were given the lower uterine segment cesarean section, group B of pregnant women were give new-style cesarean section, and group C were given modiifed method for cesarean section. The situation of surgery, and complications were observed and compared among groups.Results Operative time, blood loss, and open to the time of delivery of the fetus, after 24 hours of bleeding of Group A and C were signiifcantly better than those of group B, further adhesions incidence group A and C was signiifcantly lower than group B, the difference was statistically significant (P<0.05). Postoperative infection, fever incidence, three groups of pregnant women the difference was not statistically signiifcant (P>0.05).Conclusion Lower uterine segment cesarean section and modiifed method for cesarean section of the initial cesarean were better evaluation of operation, less complication, which were worthy of clinical popularization and application.%目的：研究不同剖宫产手术方式对二次剖宫产孕妇的影响。方法本研究对象为我院2012年1月至2014年12月收治的择期行二次剖宫产术的孕妇150例，按照首次剖宫产方式将全部孕妇分成A、B、C三组各50例，A组孕妇给予子宫下段剖宫产术，B组孕妇给予新式剖宫产术，C组孕妇给予改良新式剖宫产术，比较孕妇的手术情况和并发症发生情况。结果 A、C组孕妇的手术时间、开腹到胎儿分娩的时间以及术中出血量、术后24小时出血量均显著优于B组孕妇，比较差异有统计学意义(P＜0.05)；另外A、C组孕妇的粘连发生率显著低于B组孕妇，比较差异有统计学意义(P＜0.05)，在术后感染、发热发生率方面，三组孕妇比较差异无统计学意义(P＞0.05)。结论初次剖宫产手术方式选择子宫下段剖宫产术、改良新式剖宫产术对二次剖宫产孕妇的具有手术效果良好，并发症较少的优点，值得临床推广应用。