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目的:比较新式剖宫产术(theMisgavLadachmethod)与传统腹壁横切口子宫下段剖宫产术(Pfannenstiel)。方法:比较54例新式剖宫产与42例传统腹壁横切口子宫下段剖宫产。新方法包括:使用JoelCohen方法开腹,不缝合膀胱腹膜反折与腹膜,一层缝合子宫下段切口,腹壁切口仅缝合2~3针。结果:观察组胎儿娩出的平均时间为(5±3)min,对照组为(10±4)min,P<0.01;观察组术中出血为(134±62)ml,对照组为(193±105)ml,P<0.01;观察组术后肠蠕动恢复时间为(20±9)h,对照组为(34±9)h,P<0.01,观察组术后疼痛时间为(9±11)h,对照组为(24±12)h,P<0.01。观察组均术后5d拆线。结论:新式剖宫产术具有缩短胎儿娩出时间,出血少、术后疼痛轻、恢复快、减少住院时间等优点,值得推广
Objective: To compare the new cesarean section (theMisgavLadachmethod) with the traditional transverse abdominal cesarean section (Pfannenstiel). Methods: 54 cases of new cesarean section and 42 cases of traditional abdominal transverse incision cesarean section of the lower uterine segment. New methods include: Joel? Cohen method of laparotomy, peritoneal buckling and peritoneal suturing, a layer of suture the lower uterine incision, abdominal incision suture only 2 to 3. Results: The average time of delivery was (5 ± 3) min in the observation group and (10 ± 4) min in the control group, P <0.01. The intraoperative bleeding in the observation group was (134 ± 62) 193 ± 105) ml, P <0.01. The recovery time of the peristalsis in the observation group was (20 ± 9) h and in the control group was (34 ± 9) h, P <0.01. The postoperative pain time (9 ± 11) h, and the control group was (24 ± 12) h, P <0.01. The observation group were sutured 5d after operation. Conclusion: The new cesarean section has the advantages of shortening the time of delivery of the fetus, less bleeding, less postoperative pain, faster recovery and less hospital stay, which is worth promoting