| 摘要: |
| ［摘要］ 目的 总结重复剖宫产手术的经验，以减少手术损伤和手术并发症的发生。方法 回顾分析720例行重复剖宫产手术患者的术中情况、手术方法和手术结果。结果 术中发现重度粘连50例，无一例发生肠管、膀胱损伤；瘢痕愈合不良80例。12例胎盘部分粘连，附着于子宫原瘢痕部位，出血较多，经局部缝合等处理止血。1例胎盘广泛植入原瘢痕部位，出血凶猛，行子宫切除。完全性前置胎盘2例，经常规处理后仍出血较多，即行子宫切除。所有患者术后无严重并发症发生。结论 对于重复剖宫产重度粘连、切口愈合不良者采用剖宫产手术方法安全可行。 |
| 关键词: 重复剖宫产 重度粘连 手术方法 |
| DOI：10.3969/j.issn.1674-3806.2014.06.18 |
| 分类号:R 714 |
| 基金项目: |
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| Analysis of 720 cases of repeated cesarean |
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HAO Shu-lian
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Department of Obstetrics and Gynecology, Dengfeng Hospital of Traditional Chinese Medicine, Henan 452470, China
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| Abstract: |
| ［Abstract］ Objective To summarize the experience of repeated cesarean in order to reduce operation damage and complication.Methods A retrospective analysis on the different ways of operation and results on 720 patients who had repeated cesarean.Results Fifty severe adhesion patients did not have any damage to their intestines or bladders, eighty patients who did not recover well from the last operation did not bleed between the menses. Twelve patients whose placentas were partly adhered to cesarean section scar bled much and stopped bleeding by sewing. A patient whose placenta was widely adhered to cesarean section scar bled much more and had her uterus excised, 2 patients who had prepositional placenta bled a little more after being treated and had their uterus excised.Conclusion The way can be used not only to treat those who have repeated cesarean with severe adhesion,but it can also be used to treat the patients who do not recover from last cesarean. So the way is well worth popularizing. |
| Key words: Repeated cesarean Severe adhesion Operation method |
