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目的探讨改良式剖宫产术的临床价值。方法于下腹部两髂前上棘连线下2~3cm处做横行直切口,钝性分离脂肪层及腹直肌,横向撕开腹膜,肠线单层连续缝合子宫肌层,不缝合腹膜,肠线连续缝合筋膜及间断全层缝合皮肤及皮下组织。并与同期腹部横弧形切口剖宫产术进行比较。结果改良式手术时间短,术中出血量少,术后排气时间缩短、疼痛轻、病率低,住院时间短。与对照组比较差异有显著性(P<005)。结论改良式剖宫产术手术时间短,术后并发症少,住院时间短,值得临床推广应用。
Objective To explore the clinical value of modified cesarean section. Methods The lateral anterior superior iliac spine in the lower abdomen 2 ~ 3cm under the line to do horizontal straight incision, blunt dissection of fat and rectus abdominis, transverse peritoneal perforation, catgut single continuous suture myometrium, not peritoneal suture, Gut continuous suture fascia and intermittent full-thickness sutured the skin and subcutaneous tissue. And compared with the same period of abdomen transverse arc incision cesarean section. Results The modified operation time was short, less blood loss, shorter postoperative exhaust time, less pain, less morbidity and shorter hospital stay. Compared with the control group, the difference was significant (P <005). Conclusion The modified cesarean section has short operative time, less postoperative complications and shorter hospital stay, which is worthy of clinical application.