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目的探讨不同剖宫产术式对再次妇产科手术的影响,探讨不同手术方式的利弊。方法对85例不同术式剖宫产患者再次行剖宫产的临床资料进行回顾性分析,对两组总手术时间、开腹时间、盆腔粘连程度及术后并发症等进行比较。结果与传统子宫下段剖宫产组比较,新式剖宫产组手术总手术时间、开腹时间、腹腔粘连、假性肠梗阻均明显增加,差异有统计学意义(P<0.05),而在开腹出血量、腹壁粘连和手术疤痕方面两组差异无统计学意义(P>0.05)。结论新式剖宫产术后盆腔粘连严重,增加再次手术难度,应进行改良,对于有再次生育需求的患者要选择合适手术方式。
Objective To explore the effect of different cesarean section on gynecological surgery again and discuss the pros and cons of different surgical methods. Methods The clinical data of 85 cases with cesarean section undergoing different cesarean section were retrospectively analyzed. The total operation time, laparotomy time, pelvic adhesions and postoperative complications were compared between the two groups. Results Compared with the traditional uterine cesarean section, the total operative time, laparotomy time, peritoneal adhesions and pseudo-intestinal obstruction in the new cesarean section group were significantly increased (P <0.05) Abdominal bleeding, abdominal adhesions and surgical scar differences between the two groups was not statistically significant (P> 0.05). Conclusion New cesarean section pelvic adhesions serious, increasing the difficulty of reoperation, should be improved, for patients with fertility needs to choose the appropriate surgical approach.