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目的探讨产道血肿发生的原因及防治措施。方法对本院近年发生的23例产道血肿进行分析总结。结果 23例患者,年龄20～36岁,孕周37～41+2周;初产妇20例,经产妇3例;自然产21例,胎吸助产1例,产钳助产1例。妊娠合并症6例,其中妊娠期高血压疾病4例,外阴道静脉曲张1例,血小板减少1例。23例产道血肿中外阴血肿5例,阴道出血17例,阔韧带血肿1例。23例患者均痊愈出院。阴道裂伤或会阴侧切伤口修补缝合时止血不完善是发生产道血肿最常见的原因。结论提高助产缝合技术是减少产道血肿的重要预防措施,对产道血肿应早发现早治疗,避免产生并发症。
Objective To investigate the causes of hematoma of the birth canal and the preventive measures. Methods 23 cases of genital hematoma occurred in our hospital in recent years were analyzed and summarized. Results Twenty-three patients, aged 20-36 years and 37-41 + 2 weeks gestational age, had 20 cases of primipara and 3 cases of mothers, 21 cases of spontaneous abortion, 1 case of fetal abortion and 1 case of forceps delivery. Pregnancy complications in 6 cases, of which 4 cases of hypertensive disorders during pregnancy, 1 case of varicose veins, thrombocytopenia in 1 case. In 23 cases of genital hematoma in 5 cases of vulvar hematoma, vaginal bleeding in 17 cases, 1 case of broad ligament hematoma. All 23 patients were cured and discharged. Vaginal laceration or perineal lateral incision wound healing imperfect bleeding is the most common cause of birth hematoma. Conclusion To improve midwifery suture technique is an important preventive measure to reduce hematoma of the birth canal. Hematoma of the birth canal should be found early and early treatment to avoid complications.