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目的 :探讨新改良式剖宫产术的临床价值。方法 :于下腹部两骼前上棘连线下 2～ 3cm处做一横行切口 ,钝性分离脂肪层 ,腹直肌前鞘及腹直肌 ,横向撕开腹膜 ,肠线单层连续缝合子宫肌层 ,不缝合反折腹膜及壁层腹膜 ,肠线连续缝合腹直肌前鞘 ,丝线间断褥式全层缝合皮肤及皮下组织 3针。并与传统腹部纵切口剖宫产术进行比较。结果 :新改良式手术时间短 ,术中出血量少 ,术后排气时间短 ,术后病率低、疼痛轻 ,住院时间短 ,切口疤痕纤细。与对照组比较有显著性差异 (P <0 .0 5 )。结论 :新改良式剖宫产术手术时间短 ,术后并发症少 ,住院时间短 ,值得临床推广应用。
Objective: To explore the clinical value of new modified cesarean section. Methods: A transverse incision was made at 2 ~ 3cm under the connection of the anterior superior superior spine of the lower abdomen. The obturatorial fat layer, anterior rectus abdominis muscle and rectus abdominis were transversely dissected, Myometrium, not stitching the peritoneum and retroperitoneal parietal peritoneum, gut continuous suture the rectus abdominis sheath, silk mattress full-thickness sutured skin and subcutaneous 3-pin. And with the traditional abdominal longitudinal incision cesarean section were compared. Results: The new modified surgery had short operative time, less intraoperative blood loss, shorter postoperative exhaust time, less postoperative morbidity, less pain, shorter hospital stay, and slender incision scar. Compared with the control group, there was a significant difference (P <0.05). Conclusion: The new modified cesarean section has short operative time, less postoperative complications and shorter hospital stay, which is worthy of clinical application.