剖宫产术是解决许多病理产科,特别是处理梗阻性或功能性难产的最终及最有效的手段。近年由于抗感染、输血、麻醉方法的进展,外科操作技术水平的提高,剖宫产指征发生较大的变化,使剖宫产术明显增加。据统计,50年代剖宫产占分娩总数的2％,60年代为4％～6％;70年代逐渐上升到10％～15％;80年代增至20％左右,高者达40％以上。我院1981年至1990年为6.6％至18.54％,比70年代增加7.2倍。随着剖宫产率的上升,其并发症也相应增多,其中子宫切口裂伤较为常见,常可导致大出血而危及产妇生命,现就剖宫产切口裂伤的防治讨论如下。 1 术中切口撕裂 1.1 多见于子宫下段横切口靠左侧向下撕裂,或顶端撕裂。撕裂严重者往往累及子宫血管造成剧烈出血,甚而损伤膀胱,是术中较常见的并发症。大连新金县第一人民医院1988年1月至1988年4月急诊剖宫产术 Cesarean section is the ultimate and most effective way to deal with many pathology and obstetrics, especially obstructive or functional dystocia. In recent years, due to anti-infection, blood transfusion, anesthesia progress, surgical techniques to improve the level of cesarean indications have changed greatly, so that cesarean section increased significantly. According to statistics, cesarean section accounted for 2% of the total number of deliveries in the 1950s, from 4% to 6% in the 1960s, from 10% to 15% in the 1970s, and over 40% in the 1980s. Our hospital from 1981 to 1990 was 6.6% to 18.54%, an increase of 7.2 times over the 1970s. With the rise of cesarean section, its complications also increased, including uterine incision laceration is more common, often leading to bleeding and endangering the lives of mothers, cesarean section is now on the prevention and treatment of laceration discussed below. 1 intraoperative incision tear 1.1 more common in the lower uterine transverse incision on the left tearing down, or the top tear. Severe tear often involving the uterine blood vessels caused by severe bleeding, and even damage the bladder, is a more common complication in surgery. First People’s Hospital of Dalian City, January 1988 to April 1988 emergency cesarean section