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剖腹产术是解决难产方法之一,它的使用范围近年来渐趋扩大,结合计划生育工作的开展,手术率亦逐年上升,但过份利用剖腹产术作为解决难产的倾向,增加产妇的痛苦,并造成以后人工流产术的困难或再次分娩子宫疤痕破裂的危险。因此对手术指征应严格掌握。本文将我院1977年1月～1979年10月期间剖腹产术330例进行临床分析,结合文献重点探讨有关手术适应症,并介绍新的子宫下段切口改良术式,以供参考。 (一) 手术率:我院在这期间分娩总数7325人,其中剖腹产手术330例,手术率为4.5％。1978年全国统计,50年代手术率为0.2～2.3％,60年代1.2～7.4％,70年代3.1～12.3％,可见手术产的应用率不断提高。
Caesarean section is one of the ways to solve the problem of dystocia. Its scope of use has been expanding in recent years. In combination with the work of family planning, the operation rate has also been increasing year by year. However, excessive use of caesarean section as a solution to the problem of dystocia increases the pain of maternal Resulting in the difficulty of future induced abortion or childbirth again the risk of uterine scar rupture. Therefore, surgical indications should be strictly controlled. This article from January 1977 to October 1979 in our hospital during caesarean section 330 cases of clinical analysis, combined with the literature focused on the indications for surgery, and introduce a new method of lower uterine incision improved for reference. (A) surgical rate: 73,525 total delivery during this period in our hospital, including 330 cases of caesarean section, the operation rate was 4.5%. According to the national statistics in 1978, the operation rates in the 1950s were 0.2-2.3%, 1.2-7.4% in the 1960s, and 3.1-12.3% in the 1970s. This shows that the utilization rate of surgical products is continuously increasing.