摘要
目的探讨宫颈提拉式缝合手术对凶险性前置胎盘患者止血效果的影响。方法选择102例凶险性前置胎盘患者为研究对象,采用电脑随机分组法将其分为2组,每组51例。对照组采用宫颈间断缝合术止血,观察组采用宫颈提拉式缝合术止血。比较2组产后出血量、治疗情况和不良反应发生情况。结果观察组手术时间、止血时间均显著短于对照组,术中出血量显著少于对照组(P<0.05);观察组血浆输入量、红细胞悬液输入量显著低于对照组,术后24 h阴道出血量显著少于对照组,住院时间显著短于对照组(P<0.05);观察组产褥感染率显著低于对照组(P<0.05);观察组子宫切除率与对照组比较,差异无统计学意义(P>0.05)。结论凶险性前置胎盘患者应用宫颈提拉式缝合手术可有效提升止血效果,缩短手术时间,减少产褥感染,促进患者术后早日康复出院。
Objective To investigate the effect of pull-up cervical suture on hemostasis in patients with dangerous placenta previa.Methods A total of 102 patients with dangerous placenta previa were selected as research objects,and were divided into two groups by computer random grouping.A total of 51 cases in the control group was given intermittent suture of the cervix to stop bleeding,while the observation group was given pull-up cervical suture.Postpartum blood loss,treatment condition,and adverse reactions of two were compared.Results The operative time and hemostasis time of the observation group were significantly shorter,and the intraoperative blood loss was significantly less than that of the control group(P<0.05).The plasma input amount and erythrocyte suspension input amount of the observation group were significantly lower than those of the control group(P<0.05).The postoperative 24 h vaginal bleeding volume of the observation group was significantly less,and the length of hospital stay was significantly shorter than that of the control group(P<0.05).The puerperal infection rate in the observation group was significantly lower than that in the control group(P<0.05).The uterine resection rate showed no significant difference in the two groups(P>0.05).Conclusion Pull-up cervical suture in the treatment of patients with dangerous placenta previa can effectively improve the hemostasis effect,shorten the operation time,reduce the occurrence of puerperal infection,and promote postoperative early recovery.
作者
孙静
庞颖
陈香
田华
权晓芳
任玲玲
贾宝侠
吕品
SUN Jing;PANG Ying;CHEN Xiang;TIAN Hua;QUAN Xiaofang;REN Lingling;JIA Baoxia;LYU Pin(Department of Obstetrics,521 Hospital of Norinco Group,Xi'an,Shaanxi,710065)
出处
《实用临床医药杂志》
CAS
2020年第15期76-78,82,共4页
Journal of Clinical Medicine in Practice
关键词
宫颈提拉式缝合
止血
出血量
凶险性前置胎盘
产褥感染
子宫切除
pull-up cervical suture
hemostasis
bleeding volume
dangerous placenta previa
puerperal infection
uterine resection
