论文部分内容阅读
目的探讨改良腹式横切口在胎儿窘迫产妇分娩中的应用及对分娩结局的影响。方法选择2012年4月-2014年10月该院收治的行再次剖宫产的产妇82例,根据产妇剖宫产手术方式分为观察组和对照组。对照组采取常规剖宫产横切口,观察组采取改良腹式横切口。比较两组产妇术后腹膜前筋膜出血率、腹壁下血管损伤率、Apgar新生儿评分以及腹腔粘连情况。结果观察组Apgar评分高于对照组,腹膜前筋膜出血率、腹腔粘连率及腹壁下血管损伤率明显低于对照组,差异均有统计学意义(P均<0.05)。结论改良腹式横切口术可以有效减轻胎儿窘迫产妇分娩中新生儿的损伤,降低腹腔粘连率,效果显著,临床应用价值较高。
Objective To explore the application of modified abdominal transverse incision in the delivery of fetus with fetal distress and its effect on delivery outcome. Methods From April 2012 to October 2014, 82 cases of re-cesarean section in this hospital were divided into observation group and control group according to cesarean section. Control group to take conventional cesarean section transverse incision, the observation group to take improved abdominal transverse incision. The incidence of peritoneal fascia hemorrhage, the rate of vascular injury under the abdominal wall, neonatal score of Apgar and abdominal adhesions were compared between the two groups. Results The Apgar score of the observation group was higher than that of the control group. The rates of peritoneal fascia hemorrhage, intraperitoneal adhesions and the rate of abdominal wall injury were significantly lower than those of the control group (all P <0.05). Conclusion Improved abdominal transverse incision can effectively reduce the neonatal fetal distress of labor during childbirth and reduce the rate of abdominal adhesions, the effect is significant, high clinical value.