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目的探讨子宫动脉结扎术联合水囊压迫治疗前置胎盘剖宫产术中及产后出血的临床价值。方法回顾性分析2014年10月至2015年8月沈阳市妇婴医院收治的前置胎盘行剖宫产术术中及产后出血50例患者的临床资料,其中观察组25例行子宫动脉结扎术联合水囊压迫治疗,对照组25例采用宫腔填塞纱布止血,两组均使用缩宫药物治疗,比较两组患者疗效及术后并发症情况。结果观察组术中出血量[(1 098±104.4)m L]、手术时间[(50±14.5)min]、子宫切除率(0)及产后发热率(8.0%)均少于对照组[(1 207±198.6)m L、(65±17.2)min、(24.0%)、(32.0%)],差异有统计学意义(P<0.05);两组宫腔粘连及月经改变情况比较差异无统计学意义(P>0.05)。结论子宫动脉结扎术联合水囊压迫治疗前置胎盘导致的产后出血疗效显著,方便可行,值得推广。
Objective To investigate the clinical value of uterine artery ligation combined with balloon compression in the treatment of placenta previa and postpartum hemorrhage. Methods The clinical data of 50 patients undergoing cesarean section and postpartum hemorrhage treated by Shenyang Maternal and Child Hospital from October 2014 to August 2015 were retrospectively analyzed. Twenty-five patients in the observation group underwent ligation of uterine artery Combined with balloon compression treatment, control group, 25 cases of uterine packing gauze to stop bleeding, the two groups were treated with uterine contraction medicine, the efficacy of two groups and postoperative complications were compared. Results The intraoperative blood loss [(1 098 ± 104.4) m L], operation time [(50 ± 14.5) min), hysterectomy (0) and postpartum fever rate (8.0% 1 207 ± 198.6) m L, (65 ± 17.2) min, (24.0%), (32.0%)], there was no significant difference between the two groups in the changes of intrauterine adhesions and menstruation Significance (P> 0.05). Conclusion Uterine artery ligation combined with balloon compression of placenta previa resulted in significant postpartum hemorrhage, convenient and feasible, it is worth promoting.