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目的:分析在剖宫产产后出血采用子宫背带式缝合术治疗疗效。方法:将海丰县彭湃纪念医院150例在剖宫产手术中因宫缩乏力、前置胎盘等因素引发出血的经常规治疗无效(产后平均出血量1600 m L左右)的患者随机分为对照组(75例患者采用传统宫腔填纱、结扎子宫动脉、子宫切除术)和观察组(75例患者采用子宫背带式缝合术),比较两组患者手术时间和手术后的出血量以及并发症发生率。结果:观察组患者手术时间(47.93±10.09)min和术后出血量(211.24±15.28)m L,都明显低于对照组患者手术时间(80.73±17.57)min和术后出血量(257.67±17.83)m L,通过对失血性休克、产褥病、术中输血、子宫切除等并发症发生率对比,观察组并发症发生率20.00%(15/75)明显低于对照组并发症发生率45.33%(34/75),差异具有统计学意义(P<0.05)。结论:在剖宫产产后出血治疗中,采用子宫背带式缝合术治疗能够快速止血,并且其操作简单、安全,临床效果显著。
Objective: To analyze the curative effect of uterine strap suture after bleeding in cesarean section. Methods: 150 patients in Pengfeng Memorial Hospital of Haifeng County during cesarean section were randomly divided into control group (n = 1600) with conventional treatment of bleeding due to uterine inertia, placenta previa and other factors (postpartum average blood loss of about 1600 m L) (75 patients with conventional uterine filling, uterine artery ligation, hysterectomy) and observation group (75 patients with uterine suture strap suture) were compared between the two groups of patients operating time and postoperative bleeding and complications rate. Results: The operation time (47.93 ± 10.09) min and postoperative blood loss (211.24 ± 15.28) m L in observation group were significantly lower than those in control group (80.73 ± 17.57) min and postoperative bleeding volume (257.67 ± 17.83 ) m L, Comparing the incidence of complications such as hemorrhagic shock, puerperal disease, intraoperative blood transfusion and hysterectomy, the incidence of complications in the observation group was significantly lower than that in the control group (20.00%, 15/75, 45.33 % (34/75), the difference was statistically significant (P <0.05). Conclusion: In the cesarean section postpartum hemorrhage treatment, the use of uterus strap suture treatment can quickly stop bleeding, and its operation is simple, safe, significant clinical effect.