剖宫产术后晚期手术并发症。
Late post-cesarean surgical complication.
作者信息
Fawzy Muhammad, Zalata Khaled
机构信息
Department of Obstetrics and Gynecology, Faculty of Medicine, Mansoura University Hospital, Mansoura, Egypt.
出版信息
J Obstet Gynaecol Res. 2010 Jun;36(3):544-9. doi: 10.1111/j.1447-0756.2010.01194.x.
AIM
The aim of the study was to clarify the incidence, indication, and management of late surgical intervention following cesarean section (CS) in a tertiary care university hospital.
METHODS
A cohort of 5981 women underwent CS from a group of 24,060 parturients in a retrospective study at a tertiary care university hospital. Surgical intervention after CS in the late postoperative period (after puerperium) was reviewed regarding clinical, operative, and pathological findings.
RESULTS
The CS rate was 24.86%. The incidence of late surgical intervention after CS was 0.40% (24/5981); of these 24 women, 10 (41.67%) were operated for skin lesions, two (8.3%) for urogenital fistula, three (12.5%) for gastrointestinal problems, three (12.5%) for omental masses and six (25%) for pelvic lesions.
CONCLUSION
Although the incidence of surgical intervention after CS in the late postoperative period is low and the outcome is favorable, several measures must be undertaken to reduce late surgical complications.
目的
本研究旨在阐明在一所三级护理大学医院中，剖宫产术后晚期手术干预的发生率、适应证及处理方法。
方法
在一所三级护理大学医院进行的一项回顾性研究中，从24,060名产妇中选取了5981例行剖宫产的女性。对剖宫产术后晚期（产褥期后）手术干预的临床、手术及病理结果进行了回顾。
结果
剖宫产率为24.86%。剖宫产术后晚期手术干预的发生率为0.40%（24/5981）；在这24名女性中，10例（41.67%）因皮肤病变接受手术，2例（8.3%）因泌尿生殖瘘接受手术，3例（12.5%）因胃肠道问题接受手术，3例（12.5%）因网膜肿物接受手术，6例（25%）因盆腔病变接受手术。
结论
尽管剖宫产术后晚期手术干预的发生率较低且预后良好，但仍须采取多项措施以减少晚期手术并发症。
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