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目的探讨观察组剖宫产术式与新式剖宫产手术优势及再次手术的腹腔粘连情况,以期选择最合理的术式,适宜基层医院推广。方法对2003年1月至2012年10月来院行观察组剖宫产术765例,以及二次开腹手术,包括上次观察组剖宫产165例、上次新式剖宫产术102例进行回顾性研究分析,比较切皮至胎儿娩出时间、手术时间、出血量、术后病率、其腹壁及盆腔粘连情况。结果观察组剖宫产切皮至胎儿娩出时间短,术中出血量少,术后病率低,粘连较轻,粘连发生率低,与新式剖宫产术比较其差异具有统计学意义(P<0.05)。结论观察组剖宫产术步骤简单,粘连较轻,发病率低,值得临床推广应用。
Objective To investigate the advantage of cesarean section and new cesarean section in the observation group and the reoperation of the abdominal cavity in order to select the most reasonable operation and suitable for the promotion of the primary hospital. Methods From January 2003 to October 2012, a total of 765 cases of cesarean section in the observation group of the hospital and secondary open surgery including 165 cases of cesarean section in the last observation group and 102 cases of the last new cesarean section Retrospective study analyzed and compared skin incision fetus delivery time, operation time, blood loss, postoperative morbidity, the abdominal wall and pelvic adhesions. Results The cesarean section to fetus in observation group had shorter delivery time, less intraoperative blood loss, less postoperative morbidity, less adhesions, and lower incidence of adhesions compared with the new cesarean section (P <0.05). Conclusion The cesarean section in the observation group has simple procedure, less adhesions and lower incidence, which is worthy of clinical application.