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目的:探讨剖宫产术后子宫切口血肿的有效治疗方法。方法:选择2005年5月~2013年10月唐山市丰南区妇幼保健院收治的剖宫产术后子宫切口血肿患者46例,其中血肿经线<3 cm 18例分为A1组9例给予促宫缩,第3代头孢类抗生素、替硝唑抗感染,腹部切口微波理疗;B1组9例,在A1组治疗基础上加服中药消炎汤。血肿经线≥3 cm 28例,分为A2组14例给予促缩宫、抗感染、微波理疗、中药治疗;B2组14例在A2组基础上同时B超辅助下行腹部穿刺抽出积血。进行各组治疗效果的对比分析。结果:18例血肿径线<3 cm的患者B1组的治疗效果好于A1组,28例血肿径线≥3 cm的患者B2组的治疗效果显著优于A2组,差异均有统计学意义(P<0.05)。结论:中西医联合治疗剖宫产术后子宫切口血肿效果好,腹腔穿刺抽出积血可以明显缩短住院时间和治愈时间。
Objective: To explore the effective treatment of uterine incision hematoma after cesarean section. Methods: From May 2005 to October 2013, 46 cases of uterine incision hematoma after cesarean section were treated in Fengnan District Maternal and Child Health Hospital of Tangshan City. Among them, 18 cases were divided into A1 group and 9 cases Contractions, the third generation of cephalosporins antibiotics, tinidazole anti-infection, abdominal incision microwave therapy; B1 group of 9 cases, in the A1 group based on the treatment plus Chinese anti-inflammatory soup. Hematoma warp line ≥ 3 cm 28 cases, divided into A2 group 14 cases to promote contraction Palace, anti-infective, microwave therapy, Chinese medicine treatment; B2 group 14 cases in the A2 group on the basis of B-assisted lower abdominal puncture to remove blood. Comparative analysis of the treatment effect of each group. Results: The curative effect of group B1 was better than that of group A1 in 18 patients with diameter less than 3 cm, and the effect of group B2 was superior to that of group A2 in 28 patients with diameter ≥ 3 cm. The differences were statistically significant ( P <0.05). Conclusion: The combination of Chinese and Western medicine treatment of cesarean section after uterine incision hematoma effect, abdominal puncture and hemorrhage can significantly reduce hospitalization and cure time.