横切口顶入法腹膜外剖宫产临床分析【摘要】目的:观察横切口顶入法腹膜外剖宫产的安全性。方法:2011年1月-2014年12月木院妇产科孕产妇3810例,采用剖宫产娩出胎儿1200例。将1200例按照随机数字表法分为治疗组和对照组,每组各600例。对照组采用传统的腹膜内剖宫产手术,治疗组采用横切口顶入法腹膜外剖宫产。观察比较两组孕产妇术中、术后各观察指标及并发症情况。结果:治疗组术屮切皮至胎儿出生总时间、总手术时间、术后输液时间、持续留置尿管时间、开始进食时间、肠管排气时间及住院时间均明显短于对照组,术中出血量明显少于对照组,术后发热率明显低于对照组,差异均有统计学意义(P〈0・05)。结论:横切口顶入法腹膜外剖宫产的术后恢复快,并发症、合并症少,临床效果满意,值得临床推广应用。【关键词】横切口;顶入法;腹膜外剖宫产;安全性[Abstract]Objective::1210caseswithcaesareansectionfrom3810pregnantwomeninourhospitalfromJanuary2011toDecember2014wereselected,1200caseswererandomlydividedintothetreatmentgroupandthecontrolgroup,,:Thetotaltimeofcutskintobirth,totaioperationtime,postoperativetransfusiontime,durationofindwellingurinarycatheter,andstarteatingtimeintestinalexhausttimeandhospitalizationtimeinthetreatmentgroupweresignificantlyshorterthanthecontrolgroup,intraoperativebloodlosswassignificantlylessthanthecontrolgroup,thepostoperativefeverratewassignificantlylowerthanthecontrolgroup,thedifferenceswerestatisticallysignificant(P<)・Conclusion:Transverseincisionjackingmethodofextraperitonealcesareanhasfasterpostoperativerecovery,plicationsandsatisfactoryclinicaleff
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