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目的：探讨改良式腹膜外剖宫产的优点，便于临床推广应用。方法：对我院１９９７年３月～１９９９年１２月采用右侧边撕拉法腹膜外剖宫产（即改良式腹膜外剖宫产）１０２例与同期腹膜内子宫下段剖宫产术９８例进行回顾性对比分析。结果：平均术后排气时间改良式腹膜外剖宫产组（改良组）１４．２８ｈ、对照组为 ３２．６４ｈ，Ｐ＜０．０５；术后病率改良组为７．８４％、对照组为２０．４１％，Ｐ＜０．０５；术后切口轻、中、重度疼痛改良组分别为９１．１７％、８．８２％，０，而对照组则分别为４２．８５％、３２．６５％、２４．４９％，Ｐ＜０．０１差异有显著性。结论：改良式腹膜外剖宫产具有术后胃肠道功能恢复快、术后病率低、术后切口疼痛轻等优点，值得临床推广应用。
Objective: To explore the advantages of modified extraperitoneal cesarean section for clinical application. Methods: In our hospital from March 1997 to December 1999 using right tearing method of extraperitoneal cesarean section (ie, modified extraperitoneal cesarean section) 102 cases with the same period of intraperitoneal uterine segment cesarean section in 98 cases Retrospective comparative analysis. Results: The average postoperative exhaust time in modified extraperitoneal cesarean section group (modified group) was 14.28h, control group was 32.64h, P <0.05; the postoperative morbidity rate was 7.84% Group was 20.41%, P <0.05; the postoperative incision of mild, moderate and severe pain improved group were 91.17%, 8.82%, 0, while the control group were 42.85%, 32 .65%, 24.49%, P <0.01 difference was significant. Conclusion: The modified extraperitoneal cesarean section has the advantages of quick recovery of postoperative gastrointestinal function, low postoperative morbidity and less postoperative incision pain, which is worthy of clinical application.