再次剖宫产产妇发生盆腔粘连的相关因素分析

发布时间：2018-06-27 18:31

  本文选题：再次 + 剖宫产　； 参考：《苏州大学》2014年硕士论文

【摘要】：研究目的：通过分析294例进行再次剖宫产术患者的盆腔粘连情况以及初次剖宫产的术前及术中基本情况，探讨二者的相关性，为二次剖宫产的手术难度及风险预测提供依据。 研究方法：于2012年02月-2014年02月期间，选取我院收治的重复剖宫产患者294例。孕妇年龄最小的为25岁，最大的39岁，平均年龄32.1±6.7岁；各组患者一般资料差异无统计学意义（P0.05）。本研究已排除严重精神疾患及原发性心脏病和心、肝、肾脏功能衰竭患者。 结果：本次选取的294例再次剖宫产孕妇中，无粘连的有114例，其余180例产产生生了了不不同同程程度度的的盆盆腔腔粘粘连连，，其其中中ⅠⅠ级级75例例，，ⅡⅡ级级84例例，，，ⅢⅢ级级21例，粘连发生率达61.2%。经主成分分析法对孕妇年龄、两次手术之间的流产与清宫次数、两次手术间隔时间、前次剖宫产医院级别、腹壁切口类型、剖宫产术式、是否临产进行了分析，结果显示盆腔粘连主要与两次手术间隔时间、前次剖宫产医院级别以及腹壁切口类型有关，是否临产、年龄、剖宫产术式基本对粘连发生及严重程度无关。结果表明剖宫产术过程中应注意选择合适的腹壁切口类型，并尽量延长再次妊娠时间达2年以上。 结论：剖宫产术后盆腔粘连的形成主要与再次妊娠时间、前次剖宫产医院级别、腹壁切口类型有关。
[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 卤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

本文编号：2074836