论文部分内容阅读
目的探讨再次剖宫产时子宫切口瘢痕的处理。方法对84例再次剖宫产患者子宫切口采取不同方法。方法①钝性法(手撕法)取原瘢痕处上方1cm处切口,术者与助手示、中指向两侧钝性拉开进入宫腔;②钝性加锐性(撕切法)取相同位置切口,在二指中间用剪刀呈弧形向两侧剪开进入宫腔。结果再次剖宫产下段切口撕切法切口撕裂及周围脏器损伤等并发症发生率明显降低。结论再次剖宫产对子宫切口的不同处理可减少子宫切口撕裂出血及修补子宫,减少术后并发症的发生,缩短手术时间。
Objective To investigate the treatment of uterine incision scar after cesarean section. Methods 84 cases of cesarean section in patients with uterine incision to take different methods. Methods ① blunt method (hand tear method) to take the original scar at the top of the incision at 1cm, the surgeon and assistant showed the middle finger on both sides of the blunt opened into the uterine cavity; ② blunt plus sharpening (tear method) to take the same Location incision, in the middle of the two fingers arc scissors to both sides cut into the uterine cavity. Results again cesarean section incision torn incision tear and the surrounding organ injury and other complications significantly reduced. Conclusion Cesarean section on the different treatment of uterine incision can reduce uterine incision bleeding and repair the uterus, reduce the incidence of postoperative complications and shorten the operation time.