本文選題：再次 + 剖宮產(chǎn)�。� 參考：《蘇州大學(xué)》2014年碩士論文

【摘要】：研究目的：通過分析294例進(jìn)行再次剖宮產(chǎn)術(shù)患者的盆腔粘連情況以及初次剖宮產(chǎn)的術(shù)前及術(shù)中基本情況，探討二者的相關(guān)性，為二次剖宮產(chǎn)的手術(shù)難度及風(fēng)險(xiǎn)預(yù)測(cè)提供依據(jù)。 研究方法：于2012年02月-2014年02月期間，選取我院收治的重復(fù)剖宮產(chǎn)患者294例。孕婦年齡最小的為25歲，最大的39歲，平均年齡32.1±6.7歲；各組患者一般資料差異無統(tǒng)計(jì)學(xué)意義（P0.05）。本研究已排除嚴(yán)重精神疾患及原發(fā)性心臟病和心、肝、腎臟功能衰竭患者。 結(jié)果：本次選取的294例再次剖宮產(chǎn)孕婦中，無粘連的有114例，其余180例產(chǎn)產(chǎn)生生了了不不同同程程度度的的盆盆腔腔粘粘連連，，其其中中ⅠⅠ級(jí)級(jí)75例例，，ⅡⅡ級(jí)級(jí)84例例，，，ⅢⅢ級(jí)級(jí)21例，粘連發(fā)生率達(dá)61.2%。經(jīng)主成分分析法對(duì)孕婦年齡、兩次手術(shù)之間的流產(chǎn)與清宮次數(shù)、兩次手術(shù)間隔時(shí)間、前次剖宮產(chǎn)醫(yī)院級(jí)別、腹壁切口類型、剖宮產(chǎn)術(shù)式、是否臨產(chǎn)進(jìn)行了分析，結(jié)果顯示盆腔粘連主要與兩次手術(shù)間隔時(shí)間、前次剖宮產(chǎn)醫(yī)院級(jí)別以及腹壁切口類型有關(guān)，是否臨產(chǎn)、年齡、剖宮產(chǎn)術(shù)式基本對(duì)粘連發(fā)生及嚴(yán)重程度無關(guān)。結(jié)果表明剖宮產(chǎn)術(shù)過程中應(yīng)注意選擇合適的腹壁切口類型，并盡量延長(zhǎng)再次妊娠時(shí)間達(dá)2年以上。 結(jié)論：剖宮產(chǎn)術(shù)后盆腔粘連的形成主要與再次妊娠時(shí)間、前次剖宮產(chǎn)醫(yī)院級(jí)別、腹壁切口類型有關(guān)。
[Abstract]:Objective: to analyze the pelvic adhesions of 294 cases of cesarean section and the basic situation of the first cesarean section before and during operation, and to explore the correlation between the two, and to provide the basis for the difficulty and risk prediction of the secondary cesarean section. Methods: 294 cases of repeated cesarean section were selected from Feb 2012 to Feb 2014. The minimum age of pregnant women was 25 years old, the largest 39 years old, the average age was 32.1 鹵6.7 years old. There was no significant difference in general data among the groups (P0.05). This study excluded patients with severe mental disorders and primary heart, liver and renal failure. Results: of 294 pregnant women undergoing cesarean section, 114 had no adhesions. In the remaining 180 cases, different degrees of pelvic and pelvic mucus were produced, of which 75 cases were of grade 鈪

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