目的 探讨首次剖宫产术切口对患者二次手术术式的影响。方法 分析二次剖宫产产妇104例,根据首次剖宫产腹壁切口方式,分成腹壁纵切口组57例和横切口组47例。比较两组二次手术开腹时间、胎儿娩出时间、总手术时间、术中出血量;术后新生儿Apgar评分;腹腔粘连程度。结果 (1) 纵切口组在开腹、胎儿娩出、总手术时间及术中出血量,均显著低于横切口,两组比较在统计学上具有显著性意义(P＜0.05)。 (2) 两组新生儿Apgar评分比较,在统计学上(P＞0.05)。 (3) 纵切口组与横切口组腹腔粘连程度比较,在统计学上(P＜0.05)。结论 腹壁纵切口二次剖宫产手术优于腹壁横切口,在剖官产选择方式上,需进行选择。

Objective To explored the choice of the first cesarean incision and its affection to the secondary caesarean operation.Method 104 cases who had secondary cesarean delivery ,according to the first cesarean sec incision approach,divided into longitudinal incision group 57 cases and crosscutting 47 cases.Compared two groups of secondary laparotomy surgery time,fetal childbirth time,total operative time,intraoperative blood loss; Postoperative newborn Apgar score; Abdominal cavity adhesion degree.Results (1) the longitudinal incision group,fetal childbirth,total operation time in laparotomy and intraoperative blood loss,were significantly lower than that of the crosscutting groups (P<0.05).(2) The Apgar score in two groups was (P>0.05).(3) a longitudinal incision group compared with crosscutting group,degree of formation of celiac adhesion was (P<0.05).Conclusion The second longitudinal incision cesarean surgery is superior to the celiac wall crosscutting,both of them are needed to choose according the actual conditions.