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近年来剖宫产的比例逐年增高,产妇对腹部切口的美观提出了要求。常规腹部横切口基本满足了这一要求,但术中存在腹壁较紧致娩头困难及手术步骤多等缺点,初学者难以掌握。我们将腹部横切口加以改良,施术30例,效果满意,现介绍如下。1 方法1.1 术前准备同一般剖宫产。1.2 麻醉方法连续硬膜外麻醉。穿刺部位选择L_(1～2)或L_(2～3)。1.3 手术步骤1.3.1 沿横切口部位常规消毒皮肤、铺巾。1.3.2 沿下腹 PfannenstieI 皮纹做一弧形向上的横切口,长约12～15cm。1.3.3 横形切开皮肤、皮下组织,直达腹直肌前鞘及
In recent years, the proportion of cesarean section increased year by year, maternal abdominal requirements on the beauty of the incision. Conventional abdomen transverse incision basically meet this requirement, but there are more tight intraoperative abdominal obstruction head and more surgical steps and other shortcomings, it is difficult for beginners to master. We will be abdominal transverse incision to be improved, surgery in 30 cases, the effect is satisfactory, are described below. 1 method 1.1 preoperative preparation with the same general cesarean section. 1.2 anesthesia continuous epidural anesthesia. Puncture site selection L_ (1 ~ 2) or L_ (2 ~ 3). 1.3 surgical procedures 1.3.1 along the transverse incision routine disinfection of the skin, shop towels. 1.3.2 along the lower abdomen PfannenstieI dermatoglyphics do a curved upward cross incision, about 12 ~ 15cm. 1.3.3 transverse incision skin, subcutaneous tissue, direct anterior rectus sheath and