摘要
目的 探讨三种剖宫产术式的优缺点 ,寻找安全性大、优越性强的手术方式。方法 对 193例足月妊娠具有手术指征的产妇随机分三组 ,分别采用新式、腹膜外及子宫下段剖宫产术 ,对手术时间、术后病率及部分病人子宫与腹壁切口B超检查情况进行了对比观察。结果 手术时间 :新式与子宫下段剖宫产相比 ,手术时间有明显差异(P <0 0 1) ,新式与腹膜外剖宫产相比 ,手术时间有差异 (P <0 0 5 ) ,腹膜外与子宫下段剖宫产手术时间相比 ,无差异 (P >0 0 5 ) ;排气时间 :新式与腹膜外剖宫产相比 ,无差异 (P >0 0 5 ) ,新式与子宫下段剖宫产相比有差异(P <0 0 5 )。结论 新式剖宫产手术时间短 ,出血少 ,病人疼痛轻 ,排气快 。
Objective To study the merit and shortcoming of 3 types of cesarean section(CS) in order to identify one type with the most advantage and safety.Methods 193 pregnant women with operating indications were randomly divided into three groups:new mode,extraperitoneal and lower segmental CS was performed respectively.The duration of operation, morbidity after operation and the incision examined by B ultrasound were compared.Results It showed significant difference in the duration of operation between the new mode and the extraperitoneal CS(P<0 01),and also the lower segmental CS(P<0 05),whereas comparison in the later 2 types showed no significant difference(P>0 05).The new mode CS showed significantly shorter period in the time of break wind compared with lower segmental type(P<0 05),while it has no difference with the extraperitoneal type.Conclusion We find the new mode CS better with the shorter operative period,less bleeding,little pain,earlier break wind,better healing of the incision and lower incidence of post operative morbidity.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2000年第5期287-288,共2页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
剖腹产
术式
比较
Cesarean section Operative style Comparison
