摘要
目的:探讨子宫下段(LUS)连续折叠缝合术在瘢痕子宫孕妇剖宫产中的应用。方法:回顾性分析安顺市西秀区人民医院2021年1月—2023年8月收治的瘢痕子宫孕妇82例,按治疗方法不同分为对照组和观察组,每组41例。对照组采用常规手术缝合+缩宫素,观察组采用LUS连续折叠缝合术。对比两组止血时间、出血量、输血量、住院时间、凝血因子[血管紧张素Ⅱ(AngⅡ)、凝血因子Ⅷ、凝血因子Ⅸ、血小板]、血红蛋白(Hb)水平及并发症发生情况。结果:观察组止血时间和住院时间短于对照组,产后2 h出血量、24 h出血量和输血量少于对照组,差异有统计学意义(P<0.05)。产后1 d,观察组AngⅡ、凝血因子Ⅷ、凝血因子Ⅸ、血小板水平及Hb水平均高于对照组,差异有统计学意义(P<0.05)。观察组产后1年并发症发生率(19.51%)低于对照组(41.46%),差异有统计学意义(P<0.05)。结论:LUS连续折叠缝合术用于瘢痕子宫孕妇剖宫产,可有效改善凝血功能,控制出血,减少输血量,缩短住院时间,降低产后并发症风险。
Objective:To explore the application of continuous folding suture of lower uterine segment(LUS)in cesarean section of scar uterine pregnant women.Methods:A retrospective analysis of 82 scar uterus pregnant women admitted to hospital from January 2021 to August 2023,which were divided into two groups according to different treatment methods,with 41 cases in each group.Both groups underwent cesarean section in hospital,in which the control group used conventional suture+dioxytocin,and the observation group used LUS continuous folding suture.Hemostasis time,blood loss,blood transfusion,hospital stay,coagulation factor[angiotensinⅡ(AngⅡ),coagulation factorⅧ,coagulation factorⅨ,platelet],hemoglobin(Hb)level and complications were compared between the two groups.Results:The hemostasis time and hospitalization time in the observation group were shorter than those in the control group,and the amount of bleeding at 2 h,24 h and blood transfusion was less than that in the control group,with statistical significance(P<0.05).One day after delivery,the levels of AngⅡ,coagulation factorⅧ,coagulation factorⅧ,platelet and Hb in the observation group were higher than those in the control group with statistical significance(P<0.05).The incidence of postpartum complications in the observation group(19.51%)was lower than that in the control group(41.46%),with statistical significance(P<0.05).Conclusion:LUS continuous folding suture shows a significant role in cesarean section in scar uterine pregnant women,which can effectively improve coagulation function,control bleeding,reduce blood transfusion amount,shorten hospital stay,and reduce the risk of postpartum complications.
作者
姚菲
YAO Fei(Xixiu District People's Hospital of Anshun City,Anshun 561000,China)
出处
《临床医药实践》
2025年第6期413-416,共4页
Proceeding of Clinical Medicine
关键词
瘢痕子宫孕妇
剖宫产
子宫下段连续折叠缝合术
产后出血
凝血因子
血红蛋白
并发症
scar uterine pregnant woman
cesarean section
continuous folding suture of the lower segment of the uterus
postpartum hemorrhage
coagulation factor
hemoglobin
complications
