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目的观察改良Hwu缝合术联合缩宫素治疗前置胎盘剖宫产术中出血的效果。方法选取2011年3月-2016年3月收治的86例前置胎盘剖宫产术中出血患者,按照不同止血方式分为对照组和观察组,每组43例。所有患者均给予缩宫素治疗,对照组给予B-Lynch缝合术治疗,观察组给予改良Hwu缝合术治疗。比较两组患者术中指标(手术时间、术中出血量、术中输血量)、术后指标(术后出血量、恶露持续时间、第1次月经恢复时间、月经周期及月经恢复正常所需月经周期次数)及并发症(凝血功能异常、院内感染、产褥感染等)发生率。结果观察组手术时间、术中出血量、术中输血量均显著低于对照组(P<0.05)。观察组患者术后出血量、恶露持续时间、第1次月经恢复时间、月经周期及月经恢复正常所需月经周期次数均低于对照组(P<0.05)。两组并发症发生率比较差异无统计学意义(P>0.05)。结论改良Hwu缝合术联合缩宫素可有效治疗前置胎盘剖宫产术中出血,促进患者术后恢复。
Objective To observe the effect of modified Hwu suture combined with oxytocin on hemorrhage in cesarean section of placenta previa. Methods From March 2011 to March 2016, 86 cases of bleeding in cesarean section of placenta previa were selected and divided into control group and observation group with 43 cases in each group. All patients were given oxytocin treatment, the control group was given B-Lynch suture, the observation group was given modified Hwu suture. The intraoperative indexes (operation time, intraoperative blood loss and intraoperative blood transfusion volume) were compared between the two groups. Postoperative indicators (postoperative blood loss, duration of lochia, first menstruation recovery time, menstrual cycle and normal menstruation returned to normal The number of menstrual cycles) and complications (coagulation disorders, nosocomial infections, puerperal infection, etc.) incidence. Results The operation time, intraoperative blood loss and intraoperative blood transfusion in observation group were significantly lower than those in control group (P <0.05). The observation group patients postoperative bleeding, lochia duration, first menstruation recovery time, menstrual cycle and menstrual cycles required for the normal menstrual cycle were lower than the control group (P <0.05). There was no significant difference in the incidence of complications between the two groups (P> 0.05). Conclusion Improved Hwu suture combined with oxytocin can effectively treat bleeding in cesarean section of placenta previa and promote postoperative recovery.