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目的探讨2次剖宫产对首次剖宫产手术方式的选择。方法对行2次剖宫产的162例按照初次剖宫产手术方式分为2组,比较其初次剖宫产造成盆腹腔黏连情况及2次剖宫产手术开始至胎儿娩出时间、手术总时间、术中出血情况。结果2组病例盆腹腔黏连程度比较差异性显著(P＜0．05);手术开始至胎儿娩出时间与手术总时间均具有统计学意义(P＜0．01);术中出血量无统计学意义(P＞0．05)。结论对有可能行二次剖宫产的孕妇,建议初次剖宫产时选择子宫下段剖宫产手术方式。
Objective To investigate the choice of the first cesarean section for the second cesarean section. Methods 162 cases of 2 cesarean section were divided into two groups according to the first cesarean section. The abdominal adhesions caused by the first cesarean section and the time of delivery of the second cesarean section to the fetus were compared. The total operation Time, intraoperative bleeding. Results There were significant differences in abdominal adhesions between the two groups (P <0.05). There was a significant difference between the time of operation and the total time of operation (P <0.01) Significance (P> 0.05). Conclusions For pregnant women who may have a second cesarean section, it is suggested that the cesarean section be selected during the first cesarean section.