CAJ | 학술논문

目的：探讨弓形动脉止血术在剖宫产术后子宫收缩乏力性出血中的临床应用效果。方法：选取剖宫产术中因子宫收缩乏力性出血的96例产妇，随机分为两组，研究组（n=48）采用弓形动脉止血术，对照组（n=48）采用常规药物预防止血、子宫动脉上行支结扎术、B-lynch 缝合术进行止血处理，分析对比两组产妇的临床治疗情况。结果：研究组显效率和总有效率均显著高于对照组；研究组平均手术时间明显缩短，出血量明显减少；研究组产妇术后左、右侧子宫动脉阻抗指数(RI)和性激素水平均未呈现出统计学差异。结论：弓形动脉止血术对剖宫产术后子宫收缩乏力性出血的效果显著，适于产科临床应用和推广。
목적：탐토궁형동맥지혈술재부궁산술후자궁수축핍력성출혈중적림상응용효과。방법：선취부궁산술중인자궁수축핍력성출혈적96례산부，수궤분위량조，연구조（n=48）채용궁형동맥지혈술，대조조（n=48）채용상규약물예방지혈、자궁동맥상행지결찰술、B-lynch 봉합술진행지혈처리，분석대비량조산부적림상치료정황。결과：연구조현효솔화총유효솔균현저고우대조조；연구조평균수술시간명현축단，출혈량명현감소；연구조산부술후좌、우측자궁동맥조항지수(RI)화성격소수평균미정현출통계학차이。결론：궁형동맥지혈술대부궁산술후자궁수축핍력성출혈적효과현저，괄우산과림상응용화추엄。
Objective To probe into the clinical application effect of arcuate artery hemostasis for uterine atony bleeding after cesarean. Methods 96 patients were divided into two groups by random. The study group (n=48) were treated with arcuate artery hemostasis. The control group (n=48) were treated with routine drugs to prevent bleeding, ascending uterine artery ligation and B-lynch suture hemostasis. The clinical improvements in two groups were compared. Results The ratios of significant ef-ficiency and total effective of the study group were significantly higher than the control group. The operative time and the blood loss of the study group have significant different compared with the control group. The left and right uterine artery RI index and S/D index, and sex hormone levels were no statistical significantly between two groups. Conclusions Arcuate artery hemostasis has advantages in treating uterine atony bleeding after cesarean during the application process. It is suitable for obstetric clinical application and promotion.