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目的 评价子宫下段高位剖宫产与新式剖宫产两种术式的优缺点。方法 2 0 0例行子宫下段高位剖宫产 ,另 2 0 0例行新式剖宫产。观察手术时间、出血量、娩头困难例数、子宫切口撕裂例数、新生儿Ap gar评分等 ,并进行比较分析。 结果 子宫下段高位剖宫产平均出血量为 138 85± 5 3 74ml,明显低于新式剖宫产平均出血量 190 5± 5 9 18ml,差异有非常显著意义 (P <0 0 1)。两种术式的手术时间、娩头困难例数、子宫切口撕裂例数、新生儿Apgar评分经统计学处理 ,差异均无显著意义 (P >0 0 5 )。 结论 子宫下段高位剖宫产术中出血量少 ,优于新式剖宫产 ,可在临床推广应用。
Objective To evaluate the advantages and disadvantages of two methods of cesarean section and new cesarean section in the lower uterine segment. Method 200 cases of high uterine segment high cesarean section, the other 200 cases of new cesarean section. The operation time, the amount of bleeding, the number of delivery head difficulties, the number of cases of uterine incision and Apgar score of neonates were observed and compared. Results The average high blood loss of cesarean section in the lower uterine segment was 138 85 ± 5 3 74ml, which was significantly lower than the average new blood loss of 1905 ± 5918ml in the new cesarean section. The difference was significant (P <0.01). There was no significant difference in the operation time, the number of difficult delivery head, the number of incision in the uterus and the Apgar score of the neonates after statistical analysis (P> 0.05). Conclusion The lower uterine segment of high cesarean section less bleeding, better than the new cesarean section, which can be popularized in clinical application.