横切口顶入法腹膜外剖宫产临床分析(1)
【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月本院妇产科孕产妇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：治疗组术中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：To observe the safety of transverse incision jacking method of extraperitoneal cesarean section.Method：1210 cases with caesarean section from 3810 pregnant women in our hospital from January 2011 to December 2014 were selected，1200 cases were randomly divided into the treatment group and the control group，600 cases in each group.The control group was treated with traditional intraperitoneal cesarean operation，the treatment group was treated with transverse incision jacking method of extraperitoneal cesarean section.The intraoperative and postoperative observation index and complications between the two groups were observed and compared.Result：The total time of cut skin to birth，total operation time，postoperative transfusion time，duration of indwelling urinary catheter，and start eating time intestinal exhaust time and hospitalization time in the treatment group were significantly shorter than the control group，intraoperative blood loss was significantly less than the control group，the postoperative fever rate was significantly lower than the control group，the differences were statistically significant(P<0.05).Conclusion：Transverse incision jacking method of extraperitoneal cesarean has faster postoperative recovery，less complications and satisfactory clinical effect，is worthy of clinical popularization and application.
, 百拇医药
【Key words】 Transverse incision； Jacking method； Extraperitoneal caesarean section； Safety
First-author’s address：Shandong Caoxian Hospital of Traditional Chinese Medical，Caoxian 274400，China
doi：10.3969/j.issn.1674-4985.2015.21.025
剖宫产可以有效地挽救孕妇和胎儿的生命。随着医学研究的不断深入，由于技术水平的提高，麻醉和手术方式的改进，产妇、胎儿术前各种监护项目的开展，药物和其他辅助治疗的运用，使手术的安全性、可靠性大为提高，故剖宫产率逐年增高[1-2]。本院自2011年1月-2014年12月采用横切口顶入法行腹膜外剖宫产600例，取得了满意的临床效果，现报告如下。
1 资料与方法
1.1 一般资料 2011年1月-2014年12月本院妇产科孕产妇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。治疗组600例孕产妇中，年龄19～42岁，平均(22.0±3.6)岁；初产妇539例，经产妇61例；孕龄37～43周；择期剖宫产149例，临产后剖宫产451例。对照组600例孕产妇中，年龄21～40岁，平均(23.3±3.1)岁；初产妇506例，经产妇94例；孕龄37～43周；择期剖宫产138例，临产后剖宫产462例。两组孕产妇的年龄、孕周、手术指征等一般资料比较差异均无统计学意义(P>0.05)，具有可比性。两组的手术指征详见表1。, http://www.100md.com(赵军娟)
【关键词】 横切口； 顶入法； 腹膜外剖宫产； 安全性
【Abstract】 Objective：To observe the safety of transverse incision jacking method of extraperitoneal cesarean section.Method：1210 cases with caesarean section from 3810 pregnant women in our hospital from January 2011 to December 2014 were selected，1200 cases were randomly divided into the treatment group and the control group，600 cases in each group.The control group was treated with traditional intraperitoneal cesarean operation，the treatment group was treated with transverse incision jacking method of extraperitoneal cesarean section.The intraoperative and postoperative observation index and complications between the two groups were observed and compared.Result：The total time of cut skin to birth，total operation time，postoperative transfusion time，duration of indwelling urinary catheter，and start eating time intestinal exhaust time and hospitalization time in the treatment group were significantly shorter than the control group，intraoperative blood loss was significantly less than the control group，the postoperative fever rate was significantly lower than the control group，the differences were statistically significant(P<0.05).Conclusion：Transverse incision jacking method of extraperitoneal cesarean has faster postoperative recovery，less complications and satisfactory clinical effect，is worthy of clinical popularization and application.
, 百拇医药
【Key words】 Transverse incision； Jacking method； Extraperitoneal caesarean section； Safety
First-author’s address：Shandong Caoxian Hospital of Traditional Chinese Medical，Caoxian 274400，China
doi：10.3969/j.issn.1674-4985.2015.21.025
剖宫产可以有效地挽救孕妇和胎儿的生命。随着医学研究的不断深入，由于技术水平的提高，麻醉和手术方式的改进，产妇、胎儿术前各种监护项目的开展，药物和其他辅助治疗的运用，使手术的安全性、可靠性大为提高，故剖宫产率逐年增高[1-2]。本院自2011年1月-2014年12月采用横切口顶入法行腹膜外剖宫产600例，取得了满意的临床效果，现报告如下。
1 资料与方法
1.1 一般资料 2011年1月-2014年12月本院妇产科孕产妇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。治疗组600例孕产妇中，年龄19～42岁，平均(22.0±3.6)岁；初产妇539例，经产妇61例；孕龄37～43周；择期剖宫产149例，临产后剖宫产451例。对照组600例孕产妇中，年龄21～40岁，平均(23.3±3.1)岁；初产妇506例，经产妇94例；孕龄37～43周；择期剖宫产138例，临产后剖宫产462例。两组孕产妇的年龄、孕周、手术指征等一般资料比较差异均无统计学意义(P>0.05)，具有可比性。两组的手术指征详见表1。, http://www.100md.com(赵军娟)