摘要
目的观察子宫背带式缝合术治疗剖宫产产后出血的临床疗效。方法将48例剖宫产产后出血患者随机分为两组，每组各24例。A组采用子宫背带式缝合术治疗，B组采用双侧子宫动脉上行支结扎及宫腔填塞纱条治疗，观察两组手术时间、产后出血量和产褥病率等各方面情况。结果A组病例手术时间、产后出血量[（732．5±232．7）mlvs．（1217．2±451.3）ml]和产褥病率（16．7％vs．37．5％）均低于B组，差异有显著性（P〈0．05）；两组患者无1例需再次手术或子宫切除，无并发症发生，子宫复旧、月经复潮时间无异常。结论子宫背带式缝合术具有操作简单、止血迅速及安全易行等诸多优点，既能治疗产后出血，又可避免切除子宫，并能保留生育功能，是治疗剖宫产产后出血的有效方法。
Objective To observe the efficacy of uterine brace suture in the treatment of postpartum hemorrhage due to Cesarean section. Methods Forty-eight patients with postpartum hem- orrhage due to Cesarean section were randomly divided into A group A and group B, 24 for each group. Group A received uterine brace suture, while group B received bilateral ligation of the ascending branch of the uterine artery plus intrauterine packing with gauze. The surgical duration, postpartum hemorrhage, and puerperal morbidity were compared between the two groups. Results The surgical duration was shorter, volume of postpartum hemorrhage was smaller, and rate of puerperal morbidity was lower in group A than in group B （ P 〈 0.05 ）. No repeat procedure or hysterectomy was needed and no complications occurred in the two groups; and time to uterine involution and to return of menstruation did not differ. Conclusions Uterine brace suture is feasible, safe, simple to use, and rapid for hemostasis. It can cure postpartum hemorrhage, and avoids uterine removal and preserves reproductive function. It is an effective method for treating postpartum hemorrhage due to Cesarean section.
出处
《国际医药卫生导报》
2011年第23期2875-2877,共3页
International Medicine and Health Guidance News
关键词
子宫背带式缝合术
剖宫产术
产后出血
Uterine brace suture
Cesarean section
Postpartum hemorrhage
