CAJ | 학술논문

目的：探讨经阴道宫颈缝合并塞纱治疗难治性产后出血的临床疗效和安全性。方法选取2012年1月至2014年1月广州医科大学附属深圳沙井医院妇产科收治的经阴道分娩的产妇120例作为研究对象，患者均表现出经阴道分娩的产后出血的临床症状，之后依据随机数字表法分为试验组和对照组，每组60例，对照组接受常规处理方式，试验组接受经阴道宫颈缝合并塞纱的临床治疗方式。对比观察两组患者的临床疗效、出血情况以及术后并发症发生情况。结果试验组患者的临床治疗效果明显优于对照组（P ＜0．05），且治疗结束后30 min，平均出血量显著低于对照组[（112±38） mL比（127±26） mL，P ＜0．05]，且术后总并发症发生率也低于对照组（28．3％比1．6％，P＜0．01）。结论经阴道宫颈缝合并塞纱治疗难治性产后出血临床疗效较好，且操作简单，可最大限度地保留子宫及其功能，有效抑制并发症的发生，适宜临床推广。
목적：탐토경음도궁경봉합병새사치료난치성산후출혈적림상료효화안전성。방법선취2012년1월지2014년1월엄주의과대학부속심수사정의원부산과수치적경음도분면적산부120례작위연구대상，환자균표현출경음도분면적산후출혈적림상증상，지후의거수궤수자표법분위시험조화대조조，매조60례，대조조접수상규처리방식，시험조접수경음도궁경봉합병새사적림상치료방식。대비관찰량조환자적림상료효、출혈정황이급술후병발증발생정황。결과시험조환자적림상치료효과명현우우대조조（P ＜0．05），차치료결속후30 min，평균출혈량현저저우대조조[（112±38） mL비（127±26） mL，P ＜0．05]，차술후총병발증발생솔야저우대조조（28．3％비1．6％，P＜0．01）。결론경음도궁경봉합병새사치료난치성산후출혈림상료효교호，차조작간단，가최대한도지보류자궁급기공능，유효억제병발증적발생，괄의림상추엄。
Objective To explore clinical effect sand safety of transvaginal cervical suture and plugging yarn therapy for intractable postpartum hemorrhage.Methods A total of 120 cases of vaginal delivery with the clinical symptoms of postpartum hemorrhage admitted in Shenzhen Shajing Affiliated Hospital of Guang-zhou Medical University from Jan.2012 to Jan.2014 were selected as research objects,and randomly divided into the experimental group and the control group,with 60 cases in each group.Patients in the control group received routine treatment,and patients in the experimental group underwent transvaginal cervical suture and plugging yarn treatment.The clinical curative effect,the bleeding condition and postoperative complications of the two groups were compared.Results The clinical curative effect of the experimental group was better than the control group,the average blood loss 30 minute after treatment of the experimental group was lower than control group[(112 ±38) mL vs (127 ±26) mL,P<0.05],and the incidence of postoperative complica-tions of the experimental group was lower than the control group(28.3% vs 1.6%,P<0.01).Conclusion Transvaginal cervical suture and plugging yarn treatment have good clinical curative effect on postpartumhemorrhage,it is easily operated and can retain the uterus and its capabilities to the greatest extent,and effectivelyreduce adverse complications,therefore,it is worth for clinical promotion.