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对前次行子宫下段剖宫产术者二次施腹膜外剖宫产术病例40例,与同期二次子宫下段剖宫产术病例36例进行对比分析。结果表明:两组病例切口感染、住院天数等均无差异,而术中出血量腹膜外组平均(268.75±136.60)ml,腹膜内组平均(370.83±146.10)ml(P<0.05);术后病率腹膜外组15.10%,腹膜内组30.6%(P<0.05);术后肠功能恢复腹膜外组6~8小时,腹膜内组48~72小时(P<0.05);手术时间腹膜外组略短于腹膜内组。提示:二次剖宫产术采用腹膜外剖宫产术式,切实可行,可广为利用。
Forty cases of secondary cesarean section underwent the second cesarean section with the second cesarean section and 36 cases of cesarean section under the second stage of the lower uterine segment were compared. The results showed that there was no difference in incision infection and hospitalization days between the two groups, while the average amount of intraoperative bleeding was 268.75 ± 136.60 ml and 370.83 ± 146.10 ml respectively (P <0.05) The rate of extraperitoneal group was 15.10%, intraperitoneal group was 30.6% (P <0.05), and the function of the extraperitoneal group was recovered from 6 to 8 hours after intraperitoneal injection, 48 to 72 hours after intraperitoneal injection (P <0.05) Slightly shorter than intraperitoneal group. Tip: Second cesarean section with extraperitoneal cesarean section, feasible, widely available.