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目的探讨子宫背带捆绑式缝合术在治疗剖宫产术中宫缩乏力性大出血的作用和意义。方法回顾6 a来剖宫产术中宫缩乏力性出血患者52例,经按摩子宫、宫体注射缩宫素、舌下含服米索前列醇、热盐水纱布热敷子宫后仍收缩无力,软如袋状,前2 a 17例行子宫动脉结扎术,近4 a的35例采用子宫背带捆绑式缝合术,对其2种方法从手术时间、出血量、术后抗生素使用情况进行分析。结果子宫背带捆绑式缝合术组治疗剖宫产术中宫缩乏力性大出血有效率100%,子宫动脉结扎术组有效率88%,两组差异有统计学意义(P<0.05)。结论子宫背带捆绑式缝合术治疗剖宫术中宫缩乏力性产后出血手术时间短,出血量少,术后抗生素使用时间短。
Objective To investigate the role and significance of uterine strap-strapped suture in treating massive uterine bleeding in cesarean section. Methods 52 cases of uterine atony bleeding in cesarean section were retrospectively reviewed. After the uterus, uterus, oxytocin, sublingual misoprostol and hot saline gauze were used, Such as the bag, the first 2 a 17 cases of uterine artery ligation, nearly 4 a 35 cases of uterine strap strapped suture, the two methods from the operation time, bleeding, postoperative antibiotic use analysis. Results Uterine strap strapped suture group was effective in treating 100% of uterine bleeding in cesarean section and 88% in uterine artery ligation group. The difference between the two groups was statistically significant (P <0.05). Conclusion Uterine strap strapped suture for cesarean section in the treatment of uterine inert postpartum hemorrhage surgery time is short, less bleeding, postoperative antibiotic use time is short.