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目的:探讨成功率更高、并发症更少的剖宫产理想术式。方法:设顶入式腹膜外(实验组)与腹膜内(对照组)剖宫产两组,每组各选手术指征相同、年龄相近的同期病例39例比较临床效果。结果:两组术中出血量、新生儿Apgar评分差异无统计学意义(P>0.05),但实验组手术至胎儿娩出时间、总手术时间、术后排气时间、抗生素应用时间及住院时间均少于对照组;伤口疼痛、胃肠反应程度比对照组轻,差异有统计学意义(P<0.05)。结论:顶入式腹膜外剖宫术较腹膜内剖宫术手术时间短、并发症少、产后恢复快,更具有推广应用价值。
Objective: To investigate the ideal success of cesarean section with higher success rate and fewer complications. Methods: The peritoneal topical (experimental group) and intraperitoneal (control group) cesarean section were divided into two groups. Each group had the same operation indications, and 39 cases of the same age with similar clinical effect were compared. Results: There was no significant difference between the two groups in the amount of bleeding during operation and Apgar score in neonates (P> 0.05). However, the time between operation and fetus delivery in the experimental group, the total operation time, the postoperative exhaust time, the antibiotic application time and hospital stay Less than the control group; wound pain, gastrointestinal reaction than the control group, the difference was statistically significant (P <0.05). CONCLUSION: The invasive topical cesarean section is shorter than intraperitoneal cesarean section, with fewer complications and rapid postpartum recovery. It is more valuable for popularization and application.