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目的探讨剖宫产术中结扎子宫动脉治疗及预防产后出血的效果。方法回顾性分析2004年9月至2007年9月150例剖宫产术中施行子宫动脉上行支结扎术的手术方法及止血效果。结果30例术中出血过多患者及120例存在潜在产后出血风险的患者施行了结扎子宫动脉上行支手术。术中止血效果满意,无术后并发症,无1例发生产后出血。术后定期随访,子宫复旧良好,月经按期复潮,不影响再次妊娠及分娩。结论剖宫产术中子宫动脉上行支结扎术对治疗及预防产后出血有着确切的治疗效果,操作简单,止血迅速有效,避免了因产后出血造成的孕产妇死亡。但需注意结扎子宫动脉的部位、深度及宽度。
Objective To investigate the effect of ligation of uterine artery in cesarean section and prevention of postpartum hemorrhage. Methods A retrospective analysis of 150 cases of cesarean section from September 2004 to September 2007 in which the uterine artery ligation was performed and the hemostatic effect were performed. Results Thirty patients with excessive bleeding and 120 patients with potential postpartum hemorrhage underwent ligation of the uterine artery. Intraoperative bleeding was satisfactory, no postoperative complications, no case of postpartum hemorrhage occurred. Regular follow-up after surgery, uterine involution good menstrual regular tide, does not affect the pregnancy and childbirth again. Conclusion Cesarean section in the ligation of the uterine artery ligation on the treatment and prevention of postpartum hemorrhage has the exact therapeutic effect, simple operation, stop bleeding quickly and effectively, to avoid maternal deaths caused by postpartum hemorrhage. However, attention should be paid to ligation of uterine artery site, depth and width.