中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2015年
17期
2598-2600
,共3页
缝扎止血%中央型前置胎盘%止血效果
縫扎止血%中央型前置胎盤%止血效果
봉찰지혈%중앙형전치태반%지혈효과
Stiching hemostasis%Central placenta previa%The hemostatic effect
目的：探讨两种止血方法对中央型前置胎盘患者剖宫产术中的止血效果。方法回顾性分析48例中央型前置胎盘病例，均给予剖宫产手术，术中采取宫腔纱条填塞（24例），缝扎止血（24例），比较两种不同止血方法的止血效果。结果两组均未出现子宫切除及死亡病例。缝合止血组术中出血量（554±327）mL，宫腔填塞组术中出血量（828±584）mL，两组间差异有统计学意义（t＝6．689，P＜0．01）；缝扎止血组术中输血率为8．33％（2／24），显著低于宫腔填塞组的50．0％（12／24）（P＜0．05）；缝合止血组手术时间（48．9±10．0）min，显著短于宫腔填塞组的（68．3±13．3）min（t＝8．126，P＜0．01）；两组切口一期愈合率、术后发热率及住院时间等差异均无统计学意义（均P＞0．05）。结论缝扎止血在中央型前置胎盘的治疗中是一种有效、快速的、简便的方法。
目的：探討兩種止血方法對中央型前置胎盤患者剖宮產術中的止血效果。方法迴顧性分析48例中央型前置胎盤病例，均給予剖宮產手術，術中採取宮腔紗條填塞（24例），縫扎止血（24例），比較兩種不同止血方法的止血效果。結果兩組均未齣現子宮切除及死亡病例。縫閤止血組術中齣血量（554±327）mL，宮腔填塞組術中齣血量（828±584）mL，兩組間差異有統計學意義（t＝6．689，P＜0．01）；縫扎止血組術中輸血率為8．33％（2／24），顯著低于宮腔填塞組的50．0％（12／24）（P＜0．05）；縫閤止血組手術時間（48．9±10．0）min，顯著短于宮腔填塞組的（68．3±13．3）min（t＝8．126，P＜0．01）；兩組切口一期愈閤率、術後髮熱率及住院時間等差異均無統計學意義（均P＞0．05）。結論縫扎止血在中央型前置胎盤的治療中是一種有效、快速的、簡便的方法。
목적：탐토량충지혈방법대중앙형전치태반환자부궁산술중적지혈효과。방법회고성분석48례중앙형전치태반병례，균급여부궁산수술，술중채취궁강사조전새（24례），봉찰지혈（24례），비교량충불동지혈방법적지혈효과。결과량조균미출현자궁절제급사망병례。봉합지혈조술중출혈량（554±327）mL，궁강전새조술중출혈량（828±584）mL，량조간차이유통계학의의（t＝6．689，P＜0．01）；봉찰지혈조술중수혈솔위8．33％（2／24），현저저우궁강전새조적50．0％（12／24）（P＜0．05）；봉합지혈조수술시간（48．9±10．0）min，현저단우궁강전새조적（68．3±13．3）min（t＝8．126，P＜0．01）；량조절구일기유합솔、술후발열솔급주원시간등차이균무통계학의의（균P＞0．05）。결론봉찰지혈재중앙형전치태반적치료중시일충유효、쾌속적、간편적방법。
Objective To discuss and validate which method is more effectiveness for central placenta previa through analysing the clinical outcomes of the management of hemorrhage between uterine packing and stitching hemo-stasis during cesarean section.Methods 48 pregnant women with central placenta previa was conducted in this ret-rospective study,which were all cesarean section delivery.These patients were divided into two groups.24 patients with uterine packing with gauze in the control of massive hemorrhage during cesarean section were indetified,other-wise,the other 24 patients were conducted with sewing and ligation uterine.And then,the effectiveness and outcomes were compared.Results These all patients were alive and keep the uterus.The average estimated blood loss of the stiching group was (554 ±327)mL,obviously less than the uterine packing group,which was (828 ±584)mL,and the difference was statisatically significant (t =6.689,P<0.01 ).The rate of blood transfusion during operation was 8.33% (2/24)in the group of stiching,and was 50.0%(12/24)in the uterine packing group(P<0.05).Similar-ly,the operation time of the stiching hemostasis group,which was (48.9 ±10.0)min,was evidently shorter than (68.3 ±13.3)min of the other group(t=8.126,P<0.01).The two groups had no significant difference in therate of primary healing of incision,postoperative fever and admission time(P>0.05).Conclusion The uterine stiching is an effective,rapid and simple technique in the control of hemorrhage of central placenta previa.
