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目的:对结扎子宫动脉上行支治疗剖宫产术中大流血的临床疗效进行研究分析。方法:将2009年2月~2011年2月本院接诊的20例剖宫产术中大出血后行子宫动脉上行支结扎术患者设为观察组,抽取同期在我院行子宫切除术的5例剖宫产术中大出血产妇设为对照组,观察并比较两组患者手术情况及临床疗效。结果:两组患者止血有效率均为100%,均无邻近脏器损伤发生,观察组患者在术中出血量和住院时间方面均优于对照组,输血率、切口感染率均低于对照组,组间比较差异具有统计学意义(P均<0.05)。结论:子宫动脉上行支结扎术治疗剖宫产大出血的效果与子宫切除术相同,且操作简单,可有效减少输血和感染的发生,具有非常积极的临床应用价值。
OBJECTIVE: To study the clinical effect of ligation of uterine artery in the treatment of massive bleeding in cesarean section. Methods: From February 2009 to February 2011, 20 patients who underwent cesarean section in our hospital were followed up for ligation of uterine artery. The patients in the same period were treated with hysterectomy 5 Cases of cesarean section in bleeding maternal as a control group, observation and comparison of two groups of patients with surgery and clinical efficacy. Results: The effective rate of hemostasis was 100% in both groups, no adjacent organ damage occurred. The patients in the observation group were better than the control group in the amount of blood loss and hospital stay, the blood transfusion rate and incision infection rate were lower than the control group , The difference between the groups was statistically significant (P all <0.05). Conclusion: The superior uterine artery ligation is superior to hysterectomy in the treatment of cesarean haemorrhage. It is simple in operation and can effectively reduce the incidence of blood transfusion and infection. It has a very positive clinical value.