目的比较改良以色列剖宫产术与传统腹壁纵切口剖宫产术,两种手术后母乳分泌时间及母乳喂养率的区别。方法 130例采用改良剖宫产术,80例对照组采用传统腹壁纵切口剖宫产术。两组年龄、孕周、孕产次及手术指征无统计学差异。两组产妇均采用腰硬联合麻醉。结果改良以色列剖宫产术顺应人体解剖、生理特点,减少对母体的损伤。手术时间短,失血量少,术后排气快,进食早,术后恢复快,乳汁分泌早且多,大大提高了母乳喂养率。住院时间短,费用低,所用材料少。伤口仅仅是一条直线,已达到美容效果,手术方法简单易行。结论改良以色列剖宫产术后母乳喂养率优于传统腹壁纵切口剖宫产术,值得推广。 Objective To compare the differences of cesarean section between the modified Israeli cesarean section and traditional abdominal longitudinal incision, the time of breast milk secretion and the rate of breastfeeding after the two operations. Methods 130 cases improved cesarean section, 80 cases of control group using traditional abdominal longitudinal incision cesarean section. There were no significant differences in age, gestational age, gestational age and surgical indications between the two groups. Two groups of mothers were using combined spinal and epidural anesthesia. Results Improved Israeli cesarean section complies with human anatomy and physiology and reduces maternal damage. Short operative time, less blood loss, postoperative exhaust, early eating, rapid recovery, early and more milk secretion, greatly increasing the rate of breastfeeding. Hospitalization time is short, the cost is low, the materials used less. The wound is just a straight line, has reached the cosmetic results, the surgical method is simple and easy. Conclusion The improvement of breastfeeding rate after cesarean section in Israel is better than traditional abdominal incision cesarean section, which is worth promoting.