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目的分析子宫背带式缝合术应用于剖宫产术中出血的临床效果。方法将80例剖宫产术中出血患者随机分为观察组和对照组各40例。对照组采用方块式缝合术止血治疗,而观察组采用子宫背带式缝合术止血治疗。比较2组治疗效果、术中出血及术后子宫出血量,并对患者的术后并发症跟踪观察。结果观察组患者的治疗显效率为55.0%显著高于对照组的25.0%,治疗总有效率为95.0%也显著高于对照组的55.0%(P<0.05);术中出血量明显少于对照组,且术后24h患者的阴道出血量亦少于对照组;并发症发生率为7.5%(3/40)低于对照组的47.5%(19/40),差异均有统计学意义(P<0.05)。结论子宫背带式缝合术应用于剖宫产术中出血的临床效果显著,值得进行临床推广。
Objective To analyze the clinical effect of uterine strap suture applied to cesarean section bleeding. Methods 80 cases of bleeding in cesarean section were randomly divided into observation group and control group of 40 cases. The control group using block suture hemostasis, while the observation group using the uterus strap suture hemostasis. The therapeutic effects, intraoperative bleeding and postoperative uterine bleeding were compared between the two groups, and the postoperative complications of the patients were followed up. Results The effective rate of treatment in observation group was 55.0%, which was significantly higher than that in control group (25.0%). The total effective rate was 95.0% (P <0.05). The amount of bleeding during operation was significantly less than that of control Group, and the amount of vaginal bleeding was also less than that of the control group after 24 hours. The incidence of complications was 7.5% (3/40), which was lower than that of the control group (47.5%, 19/40) (P <0.05). Conclusion The clinical effect of uterine strap suture applied to cesarean section bleeding is significant and worthy of clinical promotion.