[1]章小燕.剖宫产腹部竖切口和横切口对产后并发症与产妇术后恢复的影响[J].医学信息,2024,37(19):98-100,104.[doi:10.3969/j.issn.1006-1959.2024.19.018]
　ZHANG Xiaoyan.Effect of Abdominal Vertical Incision and Transverse Incision of Cesarean Section on Postpartum Complications and Maternal Postoperative Recovery[J].Journal of Medical Information,2024,37(19):98-100,104.[doi:10.3969/j.issn.1006-1959.2024.19.018]
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剖宫产腹部竖切口和横切口对产后并发症与产妇术后恢复的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年19期
页码:
98-100,104
栏目:
论著
出版日期:
2024-10-01

文章信息/Info

Title:
Effect of Abdominal Vertical Incision and Transverse Incision of Cesarean Section on Postpartum Complications and Maternal Postoperative Recovery
文章编号:
1006-1959（2024）19-0098-04
作者:
章小燕
余干仁和医院妇产科，江西 余干 335100
Author(s):
ZHANG Xiaoyan
Obstetrics and Gynecology Department of Yugan Renhe Hospital,Yugan 335100,Jiangxi,China
关键词:
剖宫产; 腹部竖切口; 腹部横切口; 产后并发症; 瘢痕
Keywords:
Cesarean section; Abdominal vertical incision; Abdominal transverse incision; Postpartum complications; Scar
分类号:
R719.8
DOI:
10.3969/j.issn.1006-1959.2024.19.018
文献标志码:
A
摘要:
目的 研究剖宫产腹部竖切口与横切口对产后并发症及产妇术后恢复的影响。方法 以2019年4月-2023年4月余干仁和医院拟行剖宫产分娩的60例产妇为研究对象，经随机数字表法分为竖切组（30例）与横切组（30例），竖切组采用腹壁竖切式剖宫产术，横切组则选择腹壁横切式剖宫产术，比较两组手术相关指标（手术时间、术中出血量、开腹至胎儿取出时间）、产妇术后恢复情况（术后肛门排气时间、住院时间、切口愈合时间）、产后并发症、切口瘢痕情况[患者和观察者瘢痕评估量表（POSAS）]。结果 竖切组手术时间、开腹至胎儿取出时间短于横切组，且术中出血量少于横切组（P＜0.05）；竖切组术后肛门排气时间、住院时间、切口愈合时间短于横切组（P＜0.05）；竖切组产后并发症发生率小于横切组（P＜0.05）；竖切组POSAS评分（患者量表、观察者量表）低于横切组（P＜0.05）。结论 剖宫产腹部竖切口可缩短手术时间，加速产妇术后恢复，降低其产后并发症风险，减轻切口瘢痕程度。
Abstract:
Objective To study the effect of abdominal vertical incision and transverse incision on postpartum complications and postoperative recovery in cesarean section.Methods From April 2019 to April 2023, 60 parturients who planned to undergo cesarean section in Yugan Renhe Hospital were selected as the research objects. They were divided into vertical incision group (30 parturients) and transverse incision group (30 parturients) by random number table method. The vertical incision group was treated with vertical incision cesarean section of abdominal wall, while the transverse incision group was treated with transverse incision cesarean section of abdominal wall. The operation related indexes (operation time, intraoperative blood loss, time from laparotomy to fetal removal), postoperative recovery of parturients (postoperative anal exhaust time, hospitalization time, incision healing time), postpartum complications and incision scar [Patient and Observer Scar Assessment Scale (POSAS)] were compared between the two groups.Results The operation time and the time from laparotomy to fetal removal in the vertical incision group were shorter than those in the transverse incision group, and the intraoperative blood loss was less than that in the transverse incision group (P<0.05). The postoperative anal exhaust time, hospitalization time and incision healing time in the vertical incision group were shorter than those in the transverse c incision group (P<0.05). The incidence of postpartum complications in the vertical incision group was lower than that in the transverse incision group (P<0.05). The POSAS score (patient scale, observer scale) of the vertical incision group was lower than that of the transverse incision group (P<0.05).Conclusion Abdominal vertical incision in cesarean section can shorten the operation time, accelerate the postoperative recovery of parturients, reduce the risk of postpartum complications, and reduce the degree of incision scar.

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更新日期/Last Update: 1900-01-01