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目的:评价子宫下段环形捆扎术在剖宫产术中治疗难治性产后出血的有效性和安全性。方法:对18例剖宫产术中采用常规方法止血无效的产妇进行子宫下段环形捆扎术。结果:18例剖宫产术中出血患者采用子宫下段环形捆扎术全部止血成功,其中1例加用水囊宫腔压迫止血,无并发症发生全部保留子宫。结论:子宫下段环形捆扎术处理剖宫产术中难治性产后出血简单、有效、安全,值得推广。
OBJECTIVE: To evaluate the effectiveness and safety of circumferential banding in the lower uterus in the treatment of refractory postpartum hemorrhage in cesarean section. Methods: 18 cases of cesarean section in the conventional method of hemostasis ineffective maternal uterine ring tying. Results: 18 cases of bleeding in cesarean section by the lower part of the uterine ring tying all the hemostasis success, including 1 case of water bag uterine compression hemostasis, no complications occurred to retain the uterus. Conclusion: The lower part of the uterine ring strapping cesarean section in the treatment of intractable postpartum hemorrhage simple, effective and safe, it is worth promoting.