中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
21期
39-41,42
,共4页
子宫下段压迫式缝合%前置胎盘%剖宫产%有效性
子宮下段壓迫式縫閤%前置胎盤%剖宮產%有效性
자궁하단압박식봉합%전치태반%부궁산%유효성
Lower uterine segment pressing suture%Placenta previa%Pregnancy%Validity
目的：探讨子宫下段压迫式缝合在前置胎盘剖宫产术中止血的效果。方法：回顾性分析2012年1月-2013年12月本院收治的前置胎盘剖宫术中出血的患者72例，均采用一般传统方案进行止血，其中16例经过一般传统方案止血成功；56例经过传统的手术方案后仍活动性出血，均立即采用不同方式的子宫下段压迫式缝合治疗，观察其止血的效果。结果：56例仍活动性出血的患者中，55例经子宫下段压迫式缝合后能有效止血，有效率98.2%；1例因胎盘完全植入切除子宫。术后均无并发症的发生，产后42 d未发现切口愈合不良，无晚期产后出血发生。结论：子宫下段压迫式缝合可用于治疗前置胎盘大出血，术式简单易学，疗效确切。
目的：探討子宮下段壓迫式縫閤在前置胎盤剖宮產術中止血的效果。方法：迴顧性分析2012年1月-2013年12月本院收治的前置胎盤剖宮術中齣血的患者72例，均採用一般傳統方案進行止血，其中16例經過一般傳統方案止血成功；56例經過傳統的手術方案後仍活動性齣血，均立即採用不同方式的子宮下段壓迫式縫閤治療，觀察其止血的效果。結果：56例仍活動性齣血的患者中，55例經子宮下段壓迫式縫閤後能有效止血，有效率98.2%；1例因胎盤完全植入切除子宮。術後均無併髮癥的髮生，產後42 d未髮現切口愈閤不良，無晚期產後齣血髮生。結論：子宮下段壓迫式縫閤可用于治療前置胎盤大齣血，術式簡單易學，療效確切。
목적：탐토자궁하단압박식봉합재전치태반부궁산술중지혈적효과。방법：회고성분석2012년1월-2013년12월본원수치적전치태반부궁술중출혈적환자72례，균채용일반전통방안진행지혈，기중16례경과일반전통방안지혈성공；56례경과전통적수술방안후잉활동성출혈，균립즉채용불동방식적자궁하단압박식봉합치료，관찰기지혈적효과。결과：56례잉활동성출혈적환자중，55례경자궁하단압박식봉합후능유효지혈，유효솔98.2%；1례인태반완전식입절제자궁。술후균무병발증적발생，산후42 d미발현절구유합불량，무만기산후출혈발생。결론：자궁하단압박식봉합가용우치료전치태반대출혈，술식간단역학，료효학절。
To explore the clinical effects of placenta previa cesarean section by lower uterine segment pressing suture.Method:72 patients with placenta previa cesarean section in our hospital from January 2012 to December 2013 were analyzed. They were received conventional schemes to stop bleeding,16 cases stop bleeding;and 56 cases were still active bleeding after the traditional surgery,and immediately adopted different ways of lower uterine segment pressing suture treatment,the hemostatic effect was observed.Result:There was 55 cases effective hemostatic by lower uterine segment pressing suture,the effective rate was 98.2%,1 case was the placenta completely embedded hysterectomy. There was no complication. There was no incision abnormal healing after caesarian section,no late puerperal hemorrhage. Conclusion:It can treatment on placenta previa bleeding by lower uterine segment pressing suture. It easy to learn and curative effect.
