医学论文范文:新式剖宫产改良法在临床中的应用研究
【摘要】 目的 探讨新式剖宫产改良法在临床中的应用价值。方法 分析对比两种手术方式在切口、手术时间、出血量以及术后并发症等情况的比较。结果 新式剖宫产法(A组)手术时间为(17.8~45.2)min,新式剖宫产改良法(B组)手术时间为(12.4~30.6)min;出血量A组约为(150~350)ml,B组约为(50~150)ml;术后肠粘连 A组(80.4~95.7)%,B组(10.2~23.5)%,羊水栓塞 A组(0.1~0.2)%,B组(0.02~0.05)%。通过以上两种手术方法比较差异有显著性。结论 新式剖宫产改良法符合人体的解剖及生理特点。不但进一步缩短了手术时间,而且具有组织损伤小、出血少、术后疼痛轻、粘连轻、并发症少、恢复快等优点
【关键词】 新式剖宫产;改良法;临床; 应用
New style splits the palace to produce the improvement law in the clinical applied research
REN Yong,ZHANG Xinxian,ZHAO Xin,et al.Cangshan County Bianzhuang Hospital,Shandong 277700,China
[Abstract] Objective The goal discussion new style splits the palace to produce the improvement law in the clinical application value.Methods The method analysis contrasts two surgery ways after the margin,the surgery time,the hemorrhage quantity as well as the technique situation and so on complication comparisons.Finally.Results New style splits the palace to produce the law (A group) the surgery time is (17.8~45.2)min,new style splits the palace to produce the improvement law (B group) the surgery time is (12.4~30.6)min After the hemorrhage measures A group is approximately the (150~350)ml B group is approximately the (50~150)ml technique the intestinal adhesion A group of (80.4~95.7)% B group of (10.2~23.5)% amniotic fluid embolism A groups of (0.1~0.2)% B group (0.02~0.05)% is remarkable through above two kind of surgery method comparison difference.Conclusion The conclusion new style splits the palace to produce the improvement law to conform to the human anatomy and the physiological characteristic.Not only further reduced the surgery time,after moreover has the organization to damage slightly,bleeds,the technique few the ache light,the adhesion light,the complication few,restores and so on the merits quickly.
[Key word] new style splits the palace to produce;improvement law;clinical;using
新式剖宫产法是以色列医生M.stark改进的子宫下段剖宫产术。采用JoelCohen横切口而成为新式剖宫产术。其特点是:开腹时对皮下脂肪采取撕拉的方法。使行走在其中的血管和神经,借助于本身的弹性完整的保留下来,减少了出血。连续缝合子宫切口,不缝合腹膜、膀胱反折腹膜,关腹时皮下脂肪及皮肤全层缝合[1~3]。笔者在基层医院从2004年1月-2008年12月共收治足月妊娠难产行剖宫产术2340例,1980例采用新式剖宫产改良法,通过以上病人术中、术后以及再次手术后病人的临床观察。其手术方式进一步完善了M.stark医生的新式剖宫产术,取得了满意的效果。现将情况报道如下医学全.在线www.lindalemus.com。
1 资料与方法
1.1 一般资料 我院于2004年1月-2008年12月共收治足月妊娠难产行剖宫产术2340例,1980例采用新式剖宫产改良法,360例采用新式剖宫产法。2340例孕妇平均年龄为27岁(20~41岁),孕周平均为40周(37~42周),新式剖宫产术360例为A组,改良法1980例为B组,两组病例选样按随机分组的原则,病人年龄、身高、体重经统计学检验差异无显著性。两组在手术适应证及麻醉方法上差异亦无显著性。
1.2 方法