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| Relationship between suturing method of uterine incision after cesarean section and uterine incision diverticula |
| ZHANG Gui-lian, HU Li-qin, LIU Qing, LUO Ling |
| Department of Obstetrics,Ganzhou Women and Children′s Hospital,Jiangxi Province,Ganzhou 341000,China |
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Abstract Objective To analyze the relationship between different suturing method of uterine incision after cesarean section and uterine incision diverticula.Methods 88 patients who were given cesarean section in the Department of Obstetrics in our hospital from September 2014 to September 2016 were selected.The patients were divided into control group and study group according to the random number table,44 cases in each group.The control group was given single-layer continuous suture to implement uterine incision suturing.The study group was given absorbable line at the first layer to continuous suture the inner one third part of myometrium.Absorbable line at the second layer was used to mattress suture the outer one third part of myometrium;the third layer was used to continuously suture bladder reflex.The second layer was not used to suture bladder reflex.The number of cases with uterine incision diverticula,the satisfaction rate of incision suture protocol,the time of postoperative anal exhaust,the duration of postoperative lochia,the total time of postoperative hospitalization,and the improvement of hemoglobin level in different time periods after delivery were compared between the two groups.Results Only one case （2.3%） in the study group formed uterine incision diverticula after the surgery of cesarean section,less than 7 cases in the control group （15.9%）,and the difference between groups was significant （P<0.05）;the satisfaction rate of cesarean section incision protocol was 95.5%,which was higher than that of 77.3% in the control group,the difference between groups was significant （P<0.05）;the duration of postoperative anal exhaust,duration of postoperative lochia and total time of postoperative hospitalization were shorter than those in control group,the differences between groups were significant （P<0.05）;the improvement of hemoglobin level in different time periods after the surgery was higher than that in the control group,and the difference was significant （P<0.05）.Conclusion Three-layer continuous suture is applied to suture the incision for the puerpera after cesarean section,which is effective to reduce the incidence of uterine incision diverticulum,shorten the postoperative recovery time and ensure the safety of puerpera during perinatal period.
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Received: 24 May 2017
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