摘要
目的探讨导致剖宫产产妇子宫下段横切口撕伤的相关因素及预防手段,以期减小产后出血风险,降低术后感染发生率。方法回顾性分析2003年5月～2009年5月期间入住我院的1326例行剖宫产手术产妇的临床资料,分析临产、枕位、胎先露、新生儿体重、子宫下段形成情况等因素与子宫切口撕裂关系,记录切口撕裂的类型及并发症,并对数据进行统计学分析处理。结果子宫下段横切口撕裂116例,占同期剖宫产术的8.75%,临产后、麻醉效果差、胎先露≥3cm、枕横位、胎儿体重≥4kg及子宫下段形成情况差的剖宫产产妇撕伤率显著增加(p<0.05或p<0.01);2例(1.7%)子宫动脉损伤,1例(0.9%)T型撕裂患者发热,10例(8.6%)恶露量增多,14例(12.1%)阴道流血时间延长。结论子宫下段横切口撕伤是剖宫产中常见的一种并发症,临产状态、麻醉效果、胎枕位、胎儿体重、胎先露等因素均与切口撕伤发生有密切关系。
ObjectiveTo investigate the cause of lower uterine segment transverse cesarean section incision tear injuries related factors and means of prevention in order to reduce the risk of postpartum hemorrhage and reduce the incidence of postoperative infection.Methods A retrospective analysis of clinical data in my hospital during a routine caesarean section with the analysis of labor,pillow-bit,first exposed fetal,neonatal weight,formation of lower uterine segment and other factors related with the uterine incision tear,recording the type of incision tear and complications,and the data were analyzed by statistics.Results Tear happened in lower uterine segment transverse incision of 116 cases,accounting for 8.75% over the same period cesarean section.During the poor effect of anesthesia in labor,child first disclosed ≥ 3 cm,occipitotransverse position of fetus,birth weight ≥ 4 kg,as well as poor formation of lower uterine segment cesarean,the section injury rate of maternal tear production significantly increased （p〈0.05 or p〈0.01）; 2 cases （1.7%） uterine artery injury,1 case （0.9%） T-type tear with fever,10 cases （8.6%） increase the amount of lochia,14 cases （12.1%） vaginal bleeding longer.Conclusions Tear of lower uterine segment transverse incision wound is a common complication of cesarean section,and perinatal conditions,anesthesia,fetal occipital position,fetal weight,fetal and other factors are close to the occurrence of tear injuries.
出处
《现代医院》
2010年第9期35-37,共3页
Modern Hospitals
关键词
剖宫产术
子宫下段横切口
撕伤
Cesarean section
Uterine lower segment transverse incision
Tear injury
