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目的分析子宫压迫缝合术联合宫腔填塞术治疗剖宫产术中顽固性子宫出血的临床效果。方法回顾性分析我院2014年1月—2015年12月收治的剖宫产术中顽固性产后出血患者18例,采用随机数字表法分为试验组和对照组,试验组采用子宫压迫缝合术联合宫腔填塞术治疗,对照组采用宫腔填塞术治疗,比较2组临床效果。结果试验组术后24 h阴道出血量(389±84)m L、住院时间(9±2)d,明显少于对照组的(626±298)m L(15、±5)d;试验组9例均止血有效,无子宫切除,对照组2例止血无效,1例子宫切除,2组比较差异均有统计学意义(P<0.05)。结论针对剖宫产术中顽固性子宫出血采用子宫压迫缝合术联合宫腔填塞术治疗,止血迅速、出血量少、安全可靠,具有良好的临床应用价值。
Objective To analyze the clinical effect of uterine compression suture combined with uterine cavity packing in the treatment of intractable uterine bleeding in cesarean section. Methods A retrospective analysis of 18 patients with intractable postpartum hemorrhage during cesarean section admitted in our hospital from January 2014 to December 2015 was divided into experimental group and control group by random number table. The experimental group was treated by uterine compression suture Combined uterine cavity packing surgery, the control group was treated by intrauterine packing, the clinical effects of two groups were compared. Results The amount of vaginal bleeding (389 ± 84) m L and the length of hospital stay (9 ± 2) d in the experimental group at 24 hours after operation were significantly lower than those in the control group (626 ± 298 m L and 15 ± 5 days) 9 cases were hemostasis, no hysterectomy, the control group 2 cases of hemostasis ineffective, 1 case of hysterectomy, the two groups were statistically significant differences (P <0.05). Conclusion For intractable uterine bleeding in cesarean section by uterine compression suture combined with intrauterine packing, hemostasis, less bleeding, safe, reliable, and has good clinical value.