中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
2期
58-60
,共3页
子宫背带式缝合%剖宫产%产后出血
子宮揹帶式縫閤%剖宮產%產後齣血
자궁배대식봉합%부궁산%산후출혈
Uterine parceled suture%Cesarean%Postpartum hemorrhage
目的 探讨子宫背带式缝合术在剖宫产产后出血患者中的临床应用效果.方法 将45例剖宫产产后出血患者随机分为观察组(n=29)与对照组(n=16),观察组采用子宫背带式缝合术治疗,对照组给予宫腔塞纱术治疗,对比两组患者治疗效果.结果 两组手术均顺利完成,无死亡病例,术后切口均Ⅰ期愈合.观察组手术时间、产后出血量、子宫切除率均显著优于对照组(P＜0.01或＜0.05);术后随访3个月,两组术后产褥感染率、继发贫血、术后输血、痛经及术后再出血等方面比较差异无统计学意义(P＞0.05),但并发症总体发生率显著低于对照组(P＜0.05).结论 子宫背带式缝合术应用力剖宫产产后出血患者能够有效迅速止血,降低术后并发症及子宫切除率,在挽救患者生命的同时可较大限度地保留患者生育能力,值得推广.
目的 探討子宮揹帶式縫閤術在剖宮產產後齣血患者中的臨床應用效果.方法 將45例剖宮產產後齣血患者隨機分為觀察組(n=29)與對照組(n=16),觀察組採用子宮揹帶式縫閤術治療,對照組給予宮腔塞紗術治療,對比兩組患者治療效果.結果 兩組手術均順利完成,無死亡病例,術後切口均Ⅰ期愈閤.觀察組手術時間、產後齣血量、子宮切除率均顯著優于對照組(P＜0.01或＜0.05);術後隨訪3箇月,兩組術後產褥感染率、繼髮貧血、術後輸血、痛經及術後再齣血等方麵比較差異無統計學意義(P＞0.05),但併髮癥總體髮生率顯著低于對照組(P＜0.05).結論 子宮揹帶式縫閤術應用力剖宮產產後齣血患者能夠有效迅速止血,降低術後併髮癥及子宮切除率,在輓救患者生命的同時可較大限度地保留患者生育能力,值得推廣.
목적 탐토자궁배대식봉합술재부궁산산후출혈환자중적림상응용효과.방법 장45례부궁산산후출혈환자수궤분위관찰조(n=29)여대조조(n=16),관찰조채용자궁배대식봉합술치료,대조조급여궁강새사술치료,대비량조환자치료효과.결과 량조수술균순리완성,무사망병례,술후절구균Ⅰ기유합.관찰조수술시간、산후출혈량、자궁절제솔균현저우우대조조(P＜0.01혹＜0.05);술후수방3개월,량조술후산욕감염솔、계발빈혈、술후수혈、통경급술후재출혈등방면비교차이무통계학의의(P＞0.05),단병발증총체발생솔현저저우대조조(P＜0.05).결론 자궁배대식봉합술응용력부궁산산후출혈환자능구유효신속지혈,강저술후병발증급자궁절제솔,재만구환자생명적동시가교대한도지보류환자생육능력,치득추엄.
Objective To investigate the clinical effects of uterine parceled suture on postpartum hemorrhage caused by cesarean.Methods Forty-five patients with postpartum hemorrhage caused by cesarean were randomly divided into the observation group(n =29) and the control group(n =16),the patients in observation group were treated by uterine parceled suture,and the patients in control group were treated by uterine cavity plug yarn technique,and the clinical effects were compared between the two groups.Results Patients in the two groups all achieved successful operation,there was no deaths,incisions healing Ⅰ.Operative time,postpartum hemorrhage,and hysterectomy rates in the observation group were significantly better than those in the control group(P ＜ 0.01 or ＜ 0.05) ; The followed-up was 3 months after operation,there was no significantly difference in puerperal infection after surgery,the incidence of secondary anemia,postoperative blood transfusion,dysmenorrhea,postoperative bleeding between the two groups (P ＞ 0.05),but the total incidence of postoperative complications of the observation group were significantly lower than that of the control group (P ＜ 0.05).Conclusions Uterine parceled suture can effectively stop bleeding quickly,reduce postoperative complications and hysterectomy rate in patients with postpartum hemorrhage caused by cesarean,fertility retention in greater limits on base of saving the lives of patients,so it' s worthy of promotion.
