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本文报道我院1983年104例腹膜外剖宫产及111例腹膜内剖宫产的临床分析。104例腹膜外剖宫产术共分三种术式:Waters 式、Latzko 式及改良式。在三组间以改良式组胎儿娩出时间较短,总手术时间亦短,出血量较少。与腹膜内剖宫产比较,腹膜内剖宫产的胎儿娩出时间最短,术后病率较少,而术后病率又与破膜时间长短有一定关系。腹膜外剖宫产术的优点为术后反应少。故我们认为在目前条件下,两种手术方式并不能相互取代之。
This article reports the clinical analysis of 104 cases of extraperitoneal cesarean section and 111 cases of intra-abdominal cesarean section in our hospital in 1983. 104 cases of extraperitoneal cesarean section is divided into three surgical procedures: Waters, Latzko and modified. In the three groups improved group of fetal delivery time is shorter, the total operation time is shorter, less bleeding. Compared with intraperitoneal cesarean section, intrauterine cesarean section of the fetus delivered the shortest time, postoperative morbidity less, and the postoperative morbidity and rupture of the length of time have a certain relationship. Extraperitoneal cesarean section has the advantage of less postoperative reaction. Therefore, we think that under the current conditions, the two surgical methods can not replace each other.