摘要
目的:观察瘢痕子宫患者在二次剖宫产手术中放置腹腔引流管,促进术后恢复及预防剖宫产术后盆腔粘连的效果。方法:选取178例二次剖宫产手术患者,随机分为研究组82例,对照组96例,研究组在关闭腹腔前留置腹腔负压引流管并持续负压引流2 d,对照组不置腹腔引流管。对患者术后恢复肛门排气时间、术后感染情况及术后随访B超检查盆腔粘连情况作为观察指标评价临床效果。结果:研究组患者术后恢复肛门排气时间较对照组明显缩短(P<0.001)。且与对照组比较,研究组中术后感染指标异常及术后随访发现盆腔粘连的患者比例明显减低(P<0.05;P<0.05)。结论:瘢痕子宫患者进行二次剖宫产术中留置腹腔引流管,可以促进术后胃肠道功能恢复,减少剖宫产术后感染及盆腔粘连的发生。
Objective:To investigate the effect of abdominal negative pressure drainage tube on the prevention of pelvic abdominal adhesion in repeated caesarean section.Methods:A total of 178 pregnant women with previous cesarean section were enrolled and randomly divided into experimental group and control group.In experimental group(n=82),abdominal negative pressure drainage tube was implanted and retained for 2 days after repeated caesarean section.While the women in control group(n=96)did not receive the negative pressure drainage.The first exhaust time,postoperative infection and pelvic adhesion were compared between the two groups.Results:In experimental group,the first exhaust time was significantly shorter than in control group(P<0.001).The occurrence of abnormal infections and pelvic adhesion were less in experimental group as compared with those in control group(both P<0.05).Conclusion:The placement of abdominal negative pressure drainage tube in repeated caesarean section can promote recovery of gastrointestinal function,reduce the infection rate,and prevent pelvic adhesion.
作者
廖菁
徐丹
李家福
杨桂芬
LIAO Jing;XU Dan;LI Jiafu;YANG Guifen(Dept.of Gynaecology and Obstetrics,Zhongnan Hospital of Wuhan University,Wuhan 430071,Hubei,China)
出处
《武汉大学学报（医学版）》
CAS
2019年第6期970-972,共3页
Medical Journal of Wuhan University
关键词
引流管
二次剖宫产
排气
感染
盆腔粘连
Drainage Tube
Repeated Caesarean Section
Exhaust Time
Infection
Pelvic Adhesion
作者简介
廖菁,女,1983-,医学博士,主治医师,主要从事妇产科疾病的研究,E-mail:liaojing1212@163.com;通讯作者:杨桂芬,女,1962-,副主任医师,主要从事围产医学及产科急危重症研究,E-mail:y.ygf@163.com
