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目的:研究采用改良腹部横切口式剖宫产手术和Misgav—Ladach式剖宫产手术这2种手术方法所造成的腹壁和腹腔粘连情况,从而得出哪种手术方式更具有临床的可行性,科学性以及安全性。方法:这次研究选取2009年1月至2011年1月在我院将进行二期剖宫产术的患者80例作为研究对象(。所有患者都自愿接受调查并服从所有准则)根据采用不同剖宫产手术方式,我院将其分为改良腹部横切口式组和Misgav—Ladach式组,两组患者各为40例。观察采用改良腹部横切口式剖宫产手术和Misgav—Ladach式剖宫产手术这2种手术方法所造成的腹壁和腹腔粘连情况。将两种效果进行分析和比较,并将这些资料进行回顾性分析研究。结果:采用改良腹部横切口式剖宫产手术所造成的腹壁和腹腔粘连的情况明显的低于Misgav—Ladach式剖宫产手术所造成的结果。结论:选用不同的不同剖宫产手术方式对于进行二期剖宫产术的患者所造成的腹壁和腹腔粘连的情况也不尽相同,而选用改良腹部横切口式的剖宫产手术方式,一方面有利于患者腹壁的愈合,另一方面也有利于降低腹壁和腹腔粘连情况的发生。因此,对于剖宫产手术方式的选择,医务人员必须要慎重选择。
OBJECTIVE: To study the abdominal wall and abdominal adhesions caused by the two surgical methods of improved transverse incision cesarean section and Misgav-Ladach cesarean section, so as to find out which surgical method is more clinically feasible, Scientific and safety. METHODS: This study enrolled 80 patients who underwent cesarean section in our hospital from January 2009 to January 2011. (All patients volunteered to be surveyed and followed all guidelines) Palace surgery, our hospital will be divided into improved abdominal transverse incision group and Misgav-Ladach type group, the two groups of 40 patients each. To observe the abdominal wall and abdominal adhesions caused by the two surgeries with modified transverse incision cesarean section and Misgav-Ladach cesarean section. The two effects were analyzed and compared, and these data were retrospectively analyzed and studied. Results: The abdominal wall and abdominal adhesions caused by modified abdominal transverse incision cesarean section were significantly lower than the results of Misgav-Ladach cesarean section. CONCLUSIONS: The use of different cesarean sections has different abdomen and peritoneal adhesions in patients undergoing second cesarean section. However, the cesarean section with modified abdominal transverse incision In terms of the patient’s abdominal wall is conducive to healing, on the other hand is also conducive to reducing the incidence of abdominal wall and abdominal adhesions. Therefore, the choice of surgical methods for caesarean section, medical staff must be carefully chosen.