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目的:观察子宫捆绑术在剖宫产术中产后出血中的临床疗效。方法:选取我院剖宫产术中产后出现宫缩乏力出血产妇60例,随机分为观察组和对照组各30例,观察组选择子宫捆绑术治疗,对照组运用宫腔纱布填塞术,观察2组临床疗效、术中产后并发症情况。结果:观察组手术时间、产后出血量、产褥病、切除子宫病例等并发症明显低于观察组(P<0.05);观察组术后30例患者全部治愈,有效率100.00%;对照组有效率86.67%,2组比较差异有显著性(P<0.05)。观察组术前后血常规指标的变化产后血红蛋白、红细胞计数及红细胞比积均较产前明显减少,差异有显著性(P<0.01)。结论:子宫捆绑术是处理剖宫产术中顽固性宫缩乏力性出血的一种安全、有效的方法,值得推广。
Objective: To observe the clinical efficacy of uterine bundling in postpartum hemorrhage in cesarean section. Methods: 60 cases of uterine bleeding after maternal uterine bleeding in our hospital were randomly divided into observation group (30 cases) and control group (30 cases). The observation group was treated by uterine bundling, while the control group was treated with uterine gauze packing Group 2 clinical efficacy, intraoperative postpartum complications. Results: The complications such as operative time, postpartum hemorrhage volume, puerperal disease and uterine incision in the observation group were significantly lower than those in the observation group (P <0.05). All 30 patients in the observation group were cured after the operation, with an effective rate of 100.00%. In the control group Efficiency 86.67%, the difference between the two groups was significant (P <0.05). Postoperative hemoglobin, red blood cell count and hematocrit were significantly decreased in observation group before and after the change of blood routine indexes, the difference was significant (P <0.01). Conclusion: Uterine bundling is a safe and effective method to deal with refractory uterine bleeding in cesarean section. It is worth promoting.