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目的探讨子宫背带式缝合术在治疗剖宫产宫缩乏力性出血的临床效果。方法随机选取90例剖宫产宫缩乏力性出血患者,随机分为观察组47例,对照组43例,观察组采取子宫背带式缝合术进行止血,对照组则采取传统的宫腔填纱加子宫动脉上行支缝扎术进行止血,对比两组患者各项手术指标及预后指标。结果观察组患者手术时间、输血率、有效控制出血时间及术后24h出血量分别为(63.8±9.7)min、12.8%、(6.7±1.1)min及(434.8±21.7)ml,与对照组各项指标相比,差别均具有统计学意义(P<0.05),且观察组患者住院时间、产褥病发病率、月经复潮天数均少于对照组,差别均具有统计学意义(P<0.05)。结论子宫背带式缝合术在治疗剖宫产宫缩乏力性出血方面与常规治疗相比具有显著优势,值得推广使用。
Objective To investigate the clinical effect of uterine suture strap suture in the treatment of uterine atony bleeding. Methods Ninety cases of uterine bleeding in uterus were randomly divided into observation group (n = 47) and control group (n = 43). The observation group received hemostasis by uterus strap suture, while the control group received conventional uterine filling plus Uterine artery suture surgery to stop bleeding, compared with the two groups of patients with various surgical indicators and prognostic indicators. Results The operation time, blood transfusion rate, effective control of bleeding time and 24h postoperative bleeding were (63.8 ± 9.7) min, 12.8%, (6.7 ± 1.1) min and (434.8 ± 21.7) ml in observation group, (P <0.05), and the hospitalization time, the incidence of puerperal disease and the days of menstrual cramps in the observation group were all less than those in the control group (P <0.05), and the difference was statistically significant ). Conclusion Uterine strap suture in the treatment of uterine inertia bleeding compared with conventional treatment has a significant advantage, it is worth promoting the use of.