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目的:探讨不同的剖宫产术式对再次剖宫产术的影响。方法:回顾性分析16例有剖宫产史、因某种产科指征需再次手术的患者的临床资料,比较第一次剖宫产不同术式对再次手术的影响。结果:腹壁纵切口剖宫产术再次手术从手术开始至胎儿娩出时间、术中出血量及腹腔粘连程度与腹壁横切口剖宫产术比较差异有统计学意义(P<0.05)。子宫下段横切口与子宫体部纵切口剖宫产术再次手术比较,从手术开始至胎儿娩出时间两组差异无统计学意义(P>0.05);但术中出血量、腹腔粘连程度及子宫切口愈合情况两组比较差异有统计学意义(P<0.05)。结论:剖宫产术对再次手术有一定负面影响,应严格掌握剖宫产指征,对有剖宫产指征者应视具体情况选择最佳手术方式。对需再次手术的患者选择腹壁纵切口、子宫下段横切口剖宫产手术为宜。
Objective: To investigate the effect of different cesarean section on cesarean section. Methods: A retrospective analysis of 16 cases of cesarean section history, due to some obstetric indications require reoperation in patients with clinical data, the first cesarean section of different surgical procedures on the impact of reoperation. Results: The abdominal incision cesarean section reoperation from the beginning of surgery to the time of delivery of the fetus, intraoperative blood loss and abdominal adhesions and abdominal transverse incision cesarean section was significantly different (P <0.05). There was no significant difference between the two groups (P> 0.05), but there was no significant difference between the two groups (P> 0.05). However, the intraoperative blood loss, abdominal adhesions and uterine incision There was significant difference between the two groups in healing (P <0.05). Conclusion: Cesarean section has some negative effects on reoperation. Cesarean section indications should be strictly controlled. For cesarean section indications, the best surgical method should be selected according to the specific situation. On the need for reoperation patients with abdominal wall longitudinal incision, transverse incision of the lower uterine cesarean section surgery is appropriate.