剖宫产术不同子宫切口缝合方式对子宫憩室形成的比较(1)
[摘要] 目的 比较剖宫产术不同子宫切口缝合方式对子宫憩室形成的影响。方法 随机选取该院2015年1月—2017年1月收治的120例剖宫产患者作为样本，随机分组，对照组予以单层缝合，观察组予以双层缝合，术后，观察两组患者的子宫憩室形成情况。结果 观察组出血量(187.49±9.48)mL，与对照组差异无统计学意义(t=0.495，P>0.05)。对照组肛门排气时间(30.18±1.64)d、恶露持续时间(8.96±0.58)d、住院时间(10.25±1.36)d、子宫憩室发生率10.00%、憩室容积(0.59±0.08)mL、肌层厚度(4.85±0.49)mm、满意度88.33%。观察组肛门排气时间(24.10±1.50)d(t=5.810)、恶露持续时间(6.85±0.19)d(t=6.004)、住院时间(7.00±0.71)d(t=6.172)、子宫憩室发生率1.67%(χ2=13.250)、憩室容积(0.25±0.06)mL(t=5.170)、肌层厚度(6.00±0.45)mm(t=5.817)、满意度98.33%(χ2=11.145)。以上差异有统计学意义(P<0.05)。 结论 剖宫产后，双层缝合子宫切口，有助于促进肛门排气，促使恶露排出，降低子宫憩室发生率，改善患者的预后，提高剖宫产的安全性。
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[关键词] 剖宫产术;单层缝合;双层缝合;子宫憩室
[中图分类号] R719.8 [文献标识码] A [文章編号] 1674-0742(2019)07(c)-0065-03
Comparison of Different Uterine Incision Suture Methods for Uterine Diverticulum Formation during Cesarean Section
WANG Feng-liang， ZHAI Wei
Department of Obstetrics and Gynecology， Tieying Hospital， Fengtai District， Beijing， 100079 China
, 百拇医药
[Abstract] Objective To compare the effects of different uterine incision sutures on the formation of uterine diverticulum during cesarean section. Methods Random 120 patients with cesarean section admitted to our hospital from January 2015 to January 2017 were randomly selected. The control group was sutured in a single layer. The observation group was sutured in two layers. After operation， the uterus formation of diverticulum of the two groups was observed. Results The amount of bleeding in the observation group (187.49±9.48)mL was not significantly different from the control group (P>0.05， t=0.495). The anus exhaust time of the control group (30.18±1.64)d， the duration of lochia (8.96±0.58)d， the length of hospital stay (10.25±1.36)d， the incidence of uterine diverticulum 10.00%， the volume of diverticulum (0.59±0.08)mL， muscle layer thickness was (4.85±0.49)mm and the satisfaction was 88.33%. Observation group anal exhaust time (24.10±1.50)d (t=5.810)， duration of lochia (6.85±0.19)d (t=6.004)， hospital stay (7.00±0.71)d (t=6.172)， uterine diverticulum rate was 1.67% (χ2=13.250)， diverticulum volume (0.25±0.06)mL(t=5.170)， muscle layer thickness (6.00±0.45)mm (t=5.817)， and satisfaction 98.33% (χ2=11.145).All of different was statistically significant(P<0.05). Conclusion After cesarean section， double-layer suture of uterus incision can promote the anal venting， promote the discharge of lochia， reduce the incidence of uterine diverticulum， improve the prognosis of patients， and improve the safety of cesarean section., http://www.100md.com(王锋良 翟伟)
, http://www.100md.com
[关键词] 剖宫产术;单层缝合;双层缝合;子宫憩室
[中图分类号] R719.8 [文献标识码] A [文章編号] 1674-0742(2019)07(c)-0065-03
Comparison of Different Uterine Incision Suture Methods for Uterine Diverticulum Formation during Cesarean Section
WANG Feng-liang， ZHAI Wei
Department of Obstetrics and Gynecology， Tieying Hospital， Fengtai District， Beijing， 100079 China
, 百拇医药
[Abstract] Objective To compare the effects of different uterine incision sutures on the formation of uterine diverticulum during cesarean section. Methods Random 120 patients with cesarean section admitted to our hospital from January 2015 to January 2017 were randomly selected. The control group was sutured in a single layer. The observation group was sutured in two layers. After operation， the uterus formation of diverticulum of the two groups was observed. Results The amount of bleeding in the observation group (187.49±9.48)mL was not significantly different from the control group (P>0.05， t=0.495). The anus exhaust time of the control group (30.18±1.64)d， the duration of lochia (8.96±0.58)d， the length of hospital stay (10.25±1.36)d， the incidence of uterine diverticulum 10.00%， the volume of diverticulum (0.59±0.08)mL， muscle layer thickness was (4.85±0.49)mm and the satisfaction was 88.33%. Observation group anal exhaust time (24.10±1.50)d (t=5.810)， duration of lochia (6.85±0.19)d (t=6.004)， hospital stay (7.00±0.71)d (t=6.172)， uterine diverticulum rate was 1.67% (χ2=13.250)， diverticulum volume (0.25±0.06)mL(t=5.170)， muscle layer thickness (6.00±0.45)mm (t=5.817)， and satisfaction 98.33% (χ2=11.145).All of different was statistically significant(P<0.05). Conclusion After cesarean section， double-layer suture of uterus incision can promote the anal venting， promote the discharge of lochia， reduce the incidence of uterine diverticulum， improve the prognosis of patients， and improve the safety of cesarean section., http://www.100md.com(王锋良 翟伟)