CAJ | 학술논문

目的：探讨卡前列素氨丁三醇联合低位 B-Lynch缝合术治疗前置胎盘剖宫产产后出血的疗效。方法将2012年7月-2013年10月64例前置胎盘患者随机分为两组，实验组32例，在剖宫产术中采用卡前列素氨丁三醇联合低位B-Lynch缝合术对胎盘剥离面进行止血；对照组32例，在剖宫产术中采用缩宫素联合传统的“8”字缝合方法对胎盘剥离面进行止血。比较两组术中出血量、术后24 h内出血量、手术时间、子宫切除率。结果①两组手术时间比较，实验组较对照组手术时间明显缩短，差异有统计学意义（P<0.05）。②术中出血量相比较，实验组比对照组显著减少，差异有统计学意义（P<0.05）。③术后24 h内出血量相比，差异有统计学意义（P<0.05）。④两组子宫切除率相比较，实验组无一例切除子宫，对照组有3例切除子宫，差异无统计学意义（P>0.05）。结论卡前列素氨丁三醇联合低位B-Lynch缝合术是治疗前置胎盘剖宫产术中胎盘剥离面出血的有效方法。
목적：탐토잡전렬소안정삼순연합저위 B-Lynch봉합술치료전치태반부궁산산후출혈적료효。방법장2012년7월-2013년10월64례전치태반환자수궤분위량조，실험조32례，재부궁산술중채용잡전렬소안정삼순연합저위B-Lynch봉합술대태반박리면진행지혈；대조조32례，재부궁산술중채용축궁소연합전통적“8”자봉합방법대태반박리면진행지혈。비교량조술중출혈량、술후24 h내출혈량、수술시간、자궁절제솔。결과①량조수술시간비교，실험조교대조조수술시간명현축단，차이유통계학의의（P<0.05）。②술중출혈량상비교，실험조비대조조현저감소，차이유통계학의의（P<0.05）。③술후24 h내출혈량상비，차이유통계학의의（P<0.05）。④량조자궁절제솔상비교，실험조무일례절제자궁，대조조유3례절제자궁，차이무통계학의의（P>0.05）。결론잡전렬소안정삼순연합저위B-Lynch봉합술시치료전치태반부궁산술중태반박리면출혈적유효방법。
Objective To explore the effect of carboprost tromethamine combined with low B-Lynch suture in controlling postpar-tum hemorrhage after cesarean delivery for placenta previa. Methods 64 cases of patients with placenta previa from July, 2012 to October, 2013 were randomly divided into two groups. For controlling postpartum hemorrhage in the surface of placental separa-tion, 32 patients in the experimental group were given carboprost tromethamine combined with low B-Lynch suture, 32 cases in the control group were given oxytocin combined with traditional '8' suture method. The blood loss volume during the operation and within 24 hours after operation, the operation time and the rate of hysterectomy of two groups were compared. Results ①The oper-ation time of the experimental group was significantly shorter than that of the control group, the difference was statistically signifi-cant (P<0.05). ②The blood loss volume during operation of the experimental group was significantly less than that of the control group, the difference was statistically significant (P<0.05).③Compared the blood loss volume within 24 hours after operation, there was a statistically significant difference between the two groups (P<0.05). ④Compared the rate of hysterectomy, the experimental group had no case of hysterectomy, the control group has 3 cases, the difference was not statistically significant ( P>0.05). Conclu-sion Carboprost tromethamine combined with low B-Lynch suture is effective to control postpartum hemorrhage in cesarean deliv-ery for placenta previa.