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目的探讨改良背带式子宫缝合术在治疗剖宫产术中子宫收缩乏力性大出血中的作用。方法对18例子宫收缩乏力性产后出血者采用改良背带式子宫缝合术。结果18例子宫收缩乏力性产后出血均发生在剖宫产术中,其中双胎妊娠5例,疤痕子宫3例,疤痕子宫合并胎盘粘连者2例,胎盘植入2例,巨大儿2例,子宫肌瘤合并妊娠3例,妊娠合并血小板减少症1例,经过按摩压迫子宫、药物治疗等无效;均采用改良背带式子宫缝线术后出血即止,预后良好。结论改良背带式子宫缝合术安全有效、简单易行、止血迅速,是子宫收缩乏力性产后出血首选的外科止血方法。
Objective To explore the role of improved suture-style uterine suture in the treatment of massive uterine atherosclerosis in cesarean section. Methods 18 cases of uterine atony postpartum hemorrhage were modified sutured uterine suture. Results 18 cases of uterine atony in postpartum hemorrhage occurred in cesarean section, including 5 cases of twin pregnancy, 3 cases of scar uterus, 2 cases of scar uterus with placenta adhesion, 2 cases of placenta accreta, 2 cases of macrosomia, Uterine fibroids with pregnancy in 3 cases, pregnancy with thrombocytopenia in 1 case, after massage the uterus, drug treatment and other invalid; are using modified straps uterine bleeding after surgery, the prognosis is good. Conclusion Improved suture-style uterine suture is safe and effective, simple and easy to stop bleeding quickly, is the preferred method of surgical bleeding after uterine atony.