改良新式剖宫产手术于再次妇产科手术中的临床应用探讨聂红梅（河南省直第三人民医院妇产科河南郑州450006）【摘要】目的：探讨改良新式剖宫产手术对再次进行妇产科手术患者的临床治疗效果。方法：115例再次妇产科手术患者依据以往剖宫产方式分为传统子宫下段剖宫产组（31例）、新式剖宫产组患者（35例）、改良新式剖宫产组（49例）。传统子宫下段剖宫产组和新式剖宫产组患者分别采用横行子宫下段切U、腹部横切口方常规方法治疗，改良新式剖宫产组患者采用Joel-Cohen切口方法治疗。记录各组患者手术过程各项指标；观察各组患者手术后切口愈合情况、盆腹腔粘连情况。结果：改良新式剖宫产组手术平均时间为（50.5±17.4）min，手术过程中出血量为（296.9±25.7）mL,显著性低于传统子宫下段剖宫产组和新式剖宫产组（P<0.05）,手术后排气时间无明显差异性（P〉0.05）;改良新式剖宫产组出现盆腹腔粘连患者并发率分别为8.16%，较传统子宫下段剖宫产组和新式剖宫产组显著性较小（P<0.05）,术后切口愈合情况优于传统子宫下段剖宫产组和新式剖宫产组；新式剖宫产组和传统剖宫产组各项检测指标无显著性差异（P〉0.05）。结论：改良新式剖宫产方法可显著降低患者手术时间和岀血量，降低术后盆腹腔炎症的并发，利于患者切口愈合和恢复,可在临床广泛应用。【关键词】改良新式剖宫产手术；再次妇产科手术【中图分类号】R714【文献标识码】A【文章编号】2095-1752（2015）06-0092-03StudytheClinicalEffectsofImprovedNewCesareanSectionOperationontheReoperationPatientsinGynecologyNIEHong-mei（DepartmentofObstetricsandGynecology,,theThirdPeople′sHospitalofHenan,Zhengzhou,Henan450006,China)【Abstract】ObjectiveInvestigatedtheclinicaltreatmenteffectsofimprovednewcesareansectionoperationonthereoperationpatientsingynecology.Methods115secondlaparotomypatientsweredividedintotraditionallowsegmentofuteruscesareansectiongroup(31),newcesareansectiongroup(35),andimprovednewcesareansectiongroup(49),whichwasbasedontheformerlyoperationofcesareansection.Conventionaltherapytreatmentsofinfestativeloweruterinesegmentcut,abdominaltransverseincisionwasappliedinthelowsegmentofuteruscesareansectiongroupandnewcesareansectiongroup,respectively,methodofJoel-Cohenwasappliedintheimprovednewcesareansectiongroup.Recordedtheindexduringtheoperation;Recordthesituationsofabdominopelviccavityblockingandincisionhealingin3groups.ResultsAveragetimeofoperationandamountofbleedingintheimprovednewcesareansectiongroupwas(50.5±17.4)min,(296.9±25.7)mL,respectively,whichweresignificantlylowerthanthelowsegmentofuteruscesareansectiongroupandnewcesareansectiongroup(P<0.05),theexhaustingtimesof3groupshadnoclearlydifferences(P〉0.05);Coincidencerateofpatientswithabdominopelviccavityblockinginimprovednewcesareansectiongroupwas8.16%,whichwasobviouslylowerthanthelowsegmentofuteruscesareansectiongroupandnewcesareansectiongroup(P<0.05),andtheincisionhealingsituationsafteroperationsintheimprovednewcesareansectiongroupwerebetterthanthelowsegmentofuteruscesareansectiongroupandnewcesareansectiongroup;Nosignificantlydifferencesintheindexwereobservedbetweenuteruscesareansectiongroupandnewcesareansectiongroup(P>0.05).ConclusionThemethodofimprovednewcesareansectioncouldsignificantlydecreasetheoperationtime,bleedingamount,andthecoincidencerateofabdominopelviccavityblocking,whichwasbenefitedfortheincisionhealingandrestoring,andcouldbewidelyappliedintheclinical.【Keywords】ImprovedNewCesareanSectionOperation;ReoperationinGynecology随着近年来临床医学手术水平的大幅度提升，剖宫产手术(CesareanSectionOperation,CSO)在临床的选择率日益增高...
