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目的:评估改良子宫切口在入分娩室试产患者剖宫产术中的有效性及安全性。方法:选取2013年1月~10月于嘉兴市妇幼保健院住院入分娩室试产后改行剖宫产分娩的113例患者,根据子宫切口不同分为改良子宫切口剖宫产组(55例)和传统子宫下段剖宫产组(58例)。观察并比较两组手术时间、术中出血量、胎儿娩出时间、术后排气时间及术后恢复情况等。同时比较两组新生儿有关临床数据。结果:与传统子宫下段剖宫产组相比,改良子宫切口剖宫产组术中出血量较少、子宫切口延裂率低、手术总时间短、胎儿娩出时间较短且Apgar评分较高(P<0.05)。两组术后胃肠功能恢复情况比较差异无统计学意义(P>0.05)。结论:在入分娩室试产患者剖宫产术中,改良子宫切口可显著减少术中出血量、降低子宫切口延裂率,且有利于娩出胎儿,缩短胎儿娩出时间。它提供了一种处理入分娩室试产患者的新剖宫产术式。
OBJECTIVE: To evaluate the effectiveness and safety of modified uterine incision in cesarean delivery in trial delivery in delivery room. Methods: A total of 113 cases of cesarean delivery in jiaxing maternal and child care hospital from January 2013 to October were included in the study. The cesarean section group (55 cases) and the cesarean section group Traditional lower uterine segment of the uterus (58 cases). The operation time, intraoperative blood loss, fetal delivery time, postoperative exhaust time and postoperative recovery were observed and compared. At the same time the two groups of newborns related clinical data. Results: Compared with the traditional uterine cesarean section, the improved uterine incision cesarean section less blood loss, uterine incision delay rate is low, the total operation time is short, the time of delivery of the fetus is short and the Apgar score is high P <0.05). There was no significant difference in the recovery of gastrointestinal function between the two groups (P> 0.05). Conclusion: During the cesarean section, the improved uterine incision can significantly reduce intraoperative blood loss, reduce the rate of uterine incision, and help to deliver the fetus and shorten the delivery time of the fetus. It provides a new cesarean section for handling trial-delivery patients in the delivery room.