新式剖宫产术后行再次剖宫产的临床观察
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【摘要】 目的 探讨首次剖宫产选择stark术式对再次剖宫产的影响。方法 将180例再次剖宫产病例纳入研究，按初次剖宫产术式分为观察组和对照组，每组90例。对照组行传统子宫下段剖宫产术，观察组行新式剖宫产(即stark式剖宫产)。观察再次剖宫产时切皮至胎儿娩出时间、手术总时间、胎儿娩出困难率、新生儿窒息率、腹壁盆腔重度粘连率。结果 观察组切皮至胎儿娩出及手术时间明显长于对照组，胎儿娩出困难发生率、新生儿窒息发生率、腹壁盆腔重度粘连比率明显高于对照组，组间差异具有统计学意义(P<0.05)。结论 新式剖宫产较传统剖宫产手术，盆腔粘连更为严重，胎儿娩出困难，新生儿窒息率增加，故需慎重选择首次剖宫产术式。
【关键词】 新式剖宫产； 再次剖宫产； 临床观察
The clinical observation of re-cesarean section after stark cesarean section WANG Qian,WU Hong-mei,ZHU Yu-lian.Xiangkang Hospital in Guangyuan,Guangyuan 628000,China
【Abstract】 Objective To explore the impact of re-cesarean section after the stark cesarean section.Methods 180 patients accepted re-cesarean section were included in the study.According to the first-time cesarean section,all patients were divided into observation group and control group,each group had 90 cases.The control group had traditional cesarean section on lower uterine,the observation group had stark cesarean section ......
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