CAJ | 학술논문

目的：探讨红尿管在前置胎盘剖宫产术中应用的有效性及安全性。方法：回顾性分析因前置胎盘住院治疗行剖宫产终止妊娠30例患者的临床资料，其中15例患者术中采用红尿管为观察组，术中使用红尿管捆绑子宫下段血管，暂时阻断子宫血流，剥离胎盘后对出血剥离面进行缝合止血。另15例未采用红尿管为对照组。结果：观察组在出血量，输血率、子宫切除率、产后出血发生率均少于对照组，两组差异有统计学意义（ P<0.05）。结论：前置胎盘术中使用红尿管捆绑子宫下段血管具有操作简单、止血迅速及安全易行等优点，能明显减少出血，降低输血率，保留患者生育功能，减少孕产妇死亡率，是一种安全，有效的方法。
목적：탐토홍뇨관재전치태반부궁산술중응용적유효성급안전성。방법：회고성분석인전치태반주원치료행부궁산종지임신30례환자적림상자료，기중15례환자술중채용홍뇨관위관찰조，술중사용홍뇨관곤방자궁하단혈관，잠시조단자궁혈류，박리태반후대출혈박리면진행봉합지혈。령15례미채용홍뇨관위대조조。결과：관찰조재출혈량，수혈솔、자궁절제솔、산후출혈발생솔균소우대조조，량조차이유통계학의의（ P<0.05）。결론：전치태반술중사용홍뇨관곤방자궁하단혈관구유조작간단、지혈신속급안전역행등우점，능명현감소출혈，강저수혈솔，보류환자생육공능，감소잉산부사망솔，시일충안전，유효적방법。
Objective To assess the effect and security of application of red urine tube in placenta previa cesarean sec-tion. Method Retrospective analysis Due to placenta previa hospitalized treatment line termination of gestation the clinical data of 30 cases of patients with cesarean delivery were analyzed retrospectively,including 15 cases of patients who used red urine tube as observation group, intraoperative used red urine tube bundles under the uterine vessels,temporarily blocking blood flow to the uterus,stripping the placenta af-ter the surface of bleeding divestitures suture hemostasis. The other 15 cases without using red urine tube for the control group. Results Observation group in the bleeding,blood transfusion rate,uterus resection rate,incidence of postpartum hemorrhage were less than that the control group,two groups was statistically significant difference( P<0. 05 ). Conclusion placenta previa intraoperative use red urine tube bundle blood vessels lower uterine segment has some advantages such as simple operation,stop bleeding quickly and safe and feasible,and can obviously reduce hemorrhage and decrease the rate of blood transfusion,keep patient,reproductive function to reduce ma-ternal mortality,and is a safe,effective method.