[摘要] 目的 探讨剖宫产手术子宫切口缝合方式与子宫下段肌层愈合情况的相关性。 方法 选取2016年1～9月间我院收治的240例首次分娩方式为剖宫产的产妇，根据首次手术子宫切口肌层的缝合方式分为观察组(单层连续缝合)和对照组(单层连续缝合+平行褥式包埋)各120例，通过超声方式测量患者再次妊娠临产前的子宫下段瘢痕厚度，再次剖宫产术中观察切口愈合情况及盆腹腔粘连情况，对结果进行比较，并比较再次分娩选择阴道试产者的试产成功率。 结果 单层缝合组测得瘢痕处肌层厚度低于双层缝合组[(1.33±0.68)mm vs(1.89±0.71)mm]，但对比瘢痕愈合情况、盆腔粘连率及再次妊娠阴道试产成功率无显著性差异。 结论 两种缝合方法的临床效果良好，值得在临床上进一步应用推广。

    [关键词] 剖宫产；子宮切口缝合；瘢痕子宫；单层缝合；双层缝合

    [中图分类号] R719.8 [文献标识码] B [文章编号] 1673-9701(2017)24-0067-04

    [Abstract] Objective To investigate the correlation between uterine incision suture methods of cesarean section and the healing of myometrium in the lower uterine segment. Methods 240 cases of puerpera whose first delivery method was cesarean section who were admitted to our hospital from January to September 2016 were selected. According to the first surgical uterine incision muscle suture approaches ......