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目的:探讨Zheng子宫压迫缝合术救治产后出血的临床实用价值。方法:回顾分析该院产科2006年10月~2012年9月应用子宫压迫缝合术救治难治性产后出血的50例产妇,按缝合方法不同分为两组,应用Zheng子宫压迫缝合术27例,B-Lynch缝合术23例,比较两组的术中、术后出血量、止血效果、住院天数及术后恢复情况。结果:1Zheng组止血有效率96%,B-Lynch组为78%,两组比较差异有统计学意义(P<0.05)。2两组的术中、术后2 h出血量及住院天数差异有统计学意义(P<0.05)。3Zheng组术后无并发症发生,B-Lynch组有1例发生子宫粘连。结论:Zheng子宫压迫缝合术是产后出血安全有效的外科治疗方法,而且对子宫损伤小,并发症少,值得临床进一步推广。
Objective: To investigate the clinical value of Zheng uterine compression suture in the treatment of postpartum hemorrhage. Methods: 50 cases of refractory postpartum hemorrhage treated by uterine compression suture from October 2006 to September 2012 in our hospital were retrospectively analyzed. According to the different methods of suture, the women were divided into two groups, 27 cases were treated by Zheng uterine compression suture, B-Lynch suture in 23 cases, the two groups were compared intraoperative and postoperative bleeding, bleeding effect, length of stay and postoperative recovery. Results: The hemostasis efficiency was 96% in 1Zheng group and 78% in B-Lynch group, the difference was statistically significant (P <0.05). There was significant difference in the amount of bleeding and the number of days of hospitalization between the two groups during operation and 2 hours after operation (P <0.05). 3Zheng group postoperative complications, B-Lynch group, 1 case of uterine adhesions. Conclusion: Zheng uterine compression suture is a safe and effective surgical treatment of postpartum hemorrhage, but also less damage to the uterus, fewer complications, it is worth further clinical promotion.