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“新式剖宫产”可引发严重黏连,生二胎该怎么办
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Topic: “新式剖宫产”可引发严重黏连,生二胎该怎么办 (Read 149 times)
etiewytied
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“新式剖宫产”可引发严重黏连,生二胎该怎么办
June 27, 2017, 02:26:58 PM
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新式剖宫产,曾在上世纪90年代风靡一时。这种方法可以缩短剖宫产的手术时间,理论上可以尽可能降低手术时间过长对孕妇造成的不利影响。但当时对该手术后可能带来的黏连问题估计不足,导致曾接受此手术的妈妈在生育二宝及再次做妇科手术时,可能会遇到难题。
上海交通大学医学院附属新华医院产科副主任医师王磊指出,很多医院在2010年后就已经从新式剖宫产又恢复到传统模式。虽然手术用时将近翻倍,但的确可以减少术后黏连等不良并发症的发生。
可能引发严重黏连
王磊医生解释,新式剖宫产和传统的剖宫产最主要的区别不是“剖开”,而是“缝合”。新式剖宫产的缝合方法是上世纪八九十年代以色列医生Stark发明的,他的理论是壁层腹膜、膀胱腹膜反褶腹层有很强的自我修复能力,术后可以短时间内可自主愈合。所以,手术的缝合可以大大简化。手术时间缩短后,出血量少,恢复也会更快。因此,国内外都曾推广过这种方法。
自上世纪90年代,我国产科业内引入该术式到21世纪初期,新式剖宫产是国内很多医院妇产科的首选方法。当然也有医院对该方法有顾虑没有采取的。临床工作时间长了,病例数多了,一些新式剖宫产的后遗症如腹腔的严重黏连开始显现,到2010年后,很多医院又将“新式剖宫术”恢复到了传统的旧式。
要知道“新式剖宫产”到此存在什么问题,就需要先了解一下剖宫产到底是怎么回事。
通常,剖宫产需要剖开这些地方,从表及里的顺序是:皮肤、皮下脂肪层、筋膜层、肌肉层、腹膜层、膀胱腹膜反褶层、子宫肌壁层。最后将羊膜腔打开,就会看到婴儿的头和身体。
孩子顺利出生后,就需要替产妇缝合。传统的缝合方式是,每一层都要缝合,就得缝7层。新式则简化成子宫肌壁层缝合一遍;腹膜层、膀胱腹膜反褶层根本不需要缝合,再缝合腹直肌前鞘和脂肪皮肤全层就完成了手术。
“简单说就是缝3层和缝7层的差别。”王磊医生指出,缝合少自然速度快。但由于缝合面不光滑,后续就容易产生黏连的问题。
腹腔的黏连,并不一定会马上影响到日常生活,但如果要生育二胎,问题就来了。当产妇再次剖宫时,医生看到的可能是广泛黏连到哪里是正常组织都分不清楚的场面。
“医生要先把黏连全部分开,让内脏组织都恢复到正常该在的地方,这样才能动刀。”王磊医生表示,这会给手术带来很多不可控的因素,延长手术时间、增加出血风险。如果产妇还有一些别的情况,比如疤痕子宫、凶险性前置胎盘引发大出血,那就一下子成为“高危孕妇”,命悬一线。
另外,一些术后黏连严重的女性,可能会出现尿频的症状,主要就是因为膀胱被“黏”上去了。
如何判断是否经历过新式剖腹产
如今想要二宝的妈妈,如何判断自己前一胎是不是做了新式剖宫产?王磊医生坦言单凭腹部外观很难做出判断,产前检查也不可能探腹,最好孕期能带上次的手术记录作参考。
希望提醒每一个孕妇的是,产前检查一定要做足。不管你是第一胎,还是第二胎;不管当时用的是哪一种缝合方法。只要准备生育,都要做好产前检查。
如果准备二胎,那也要做好孕前评估,看一下是否适合再次怀孕。孕期也要定期产检,遇到问题可以及时和医生沟通。虽说一胎生、二胎熟,孕妇也不能大意。当年龄增长之后,生育的风险也会跟着上升。
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