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目的观察联合应用子宫浆肌层缝扎与双侧子宫动脉上行支结扎治疗产后出血的作用。方法 120例术中有出血倾向的剖宫产产妇,随机分为对照组和观察组,各60例。对照组术中采用常规止血方法,如按摩子宫以及干扰素干预等;观察组患者联合应用子宫浆肌层缝扎与双侧子宫动脉上行支结扎进行止血,比较患者产后出血量等情况。结果观察组和对照组产后出血发生率分别为8.3%(5/60)和23.3%(14/60),记录出血量分别为(543.4±46.8)ml和(673.7±43.2)ml,观察组明显优于对照组,差异具有统计学意义(P<0.05);所有患者子宫以及附件经超声检查均恢复正常,月经周期正常,具有再孕能力。结论子宫浆肌层缝扎与双侧子宫动脉上行支结扎能够达到理想和快速的止血效果,操作时间短,是保守治疗先进性的具体体现,避免切除子宫。
Objective To observe the effect of combined application of uterine myometrial suture and bilateral uterine artery ligation to treat postpartum hemorrhage. Methods A total of 120 cases of cesarean section with bleeding tendency were randomly divided into control group and observation group, with 60 cases in each group. In the control group, conventional hemostasis methods were used, such as massage the uterus and intervention of interferon. The patients in the observation group were treated with uterine myometrial suture and bilateral uterine artery ligation to stop bleeding, and the postpartum hemorrhage volume was compared. Results The incidences of postpartum hemorrhage in observation group and control group were 8.3% (5/60) and 23.3% (14/60) respectively, and the amounts of bleeding were recorded as (543.4 ± 46.8) ml and (673.7 ± 43.2) ml, respectively The difference was statistically significant (P <0.05). The uterus and appendix of all patients returned to normal after ultrasound examination, the menstrual cycle was normal, and the ability of pregnancy was again. Conclusion Uterine myometrial suture and bilateral uterine artery ligation can achieve the ideal and rapid hemostatic effect, short operation time is a concrete manifestation of the advanced nature of conservative treatment to prevent the removal of the uterus.