摘要
目的：探讨子宫浆肌层“8”字缝合与结扎子宫动脉上行支对治疗剖宫产术术中出血的临床价值。方法：回顾性分析2005年5月~2007年5月12例剖宫产术中出血患者施行子宫浆肌层“8”字缝合与子宫动脉上行支结扎术的方法及效果等。结果：12例剖宫产术中出血患者施行子宫浆肌层“8”字缝合,其中5例止血成功,7例因止血效果不满意行子宫动脉上行支结扎术。所有病例均保留子宫且术后无晚期产后出血等并发症。结论：子宫浆肌层“8”字缝合加子宫动脉上行支结扎治疗剖宫产术中出血,操作简单,止血迅速,适合基层医院剖宫产术中大出血的抢救。
Objective： To study the clinical efficacy of uterine serosa and myometrium ＂8＂ suturing and bilateral ligation of the ascending branches of the uterine arteries in post - partum hemorrhage during cesarean section. Methods： Retrospective analysis the effective of the way with uterine serosa and myometrium ＂8＂ suturing and bilateral ligation of the ascending branches of the uterine arteries performed on 12 cases with post - partum hemorrhage during cesarean section from May 2005 to May 2007. Results： Uterine serosa and myometrium ＂ 8＂ suturing was performed on 12 cases to control post - partum hemorrhage during cesarean section. 5 cases successed and 7 were later performed bilateral ligation of the ascending branches of the uterine arteries because of non - controlled hemorrhage. All patients had no late post -partum hemorrhage and other complications. Conclusion： This method of uterine serosa and myometrium ＂8＂ guturing and bilateral ligation of the ascending branches of the uterine arteries is simple, rapid and effective in treatment of post - cesarean section hemorrhage and should be widely used in junior hospitals.
出处
《中国妇幼保健》
CAS
北大核心
2007年第24期3432-3434,共3页
Maternal and Child Health Care of China
关键词
“8”字缝合
子宫动脉
结扎
剖宫产
出血
＂8＂ suturing
Uterine arteries
Ligation
Cesarean section
Hemorrhage
