摘要
目的 探讨子宫“葫芦”式缝扎术在剖宫产产后出血中的疗效。方法 回顾性分析2017年10月至2021年12月在达州市妇女儿童医院剖宫产术中因宫缩乏力产后出血的50例产妇的临床资料,采用子宫“葫芦”式缝扎术止血的为研究组(30例),采用B-Lynch缝合术止血的为对照组(20例)。比较两组临床疗效、手术时间、术中出血量、输血率,术后1 h、2 h及24 h出血量,住院时间及术后并发症发生情况。结果 研究组手术时间、止血时间和术后住院时间[(50.16±6.83)min,(7.18±1.89)min,(4.3±1.5)d]短于对照组[(55.74±7.29)min,(21.13±3.74)min,(6.2±1.2)d],术中出血量及术后1 h、2 h及24 h出血量[(645.25±47.22)mL,(30.25±5.52)mL,(50.65±8.61)mL,(120.45±30.64)mL]少于对照组[(698.38±50.87)mL,(63.56±3.53)mL,(99.35±22.96)mL,(198.46±26.87)mL],差异均有统计学意义(P<0.05);两组治疗总有效率、术中输血率、术后并发症发生率比较,差异无统计学意义(P>0.05)。结论 子宫“葫芦”式缝扎术对剖宫产产后出血治疗效果确切,可缩短手术时间,减少术中术后出血,值得临床推广。
Objective To investigate and analyze the application of uterine "gourd" suturing in the prevention and treatment of postpartum hemorrhage.Methods The clinical data of 50 puerperae with postpartum hemorrhage due to uterine atony during cesarean section in Dazhou Women’s and Children’s Hospital from October 2017 to December 2021 were retrospectively analyzed.The study group(30 cases) used uterine "gourd" sature to stop bleeding, and the control group(20 cases) used B-Lynch sature.The clinical efficacy, operation time, intraoperative blood loss, blood transfusion rate, blood loss at 1 h, 2 h and 24 h after operation, hospital stay and postoperative complications were compared between the two groups.Results The operation time, hemostasis time and postoperative hospital stay in the study group [(50.16±6.83) min,(7.18±1.89) min,(4.3±1.5)d] were shorter than those in the control group [(55.74±7.29) min,(21.13±3.74)min,(6.2±1.2)d],intraoperative blood loss and postoperative blood loss at 1 h, 2 h and 24 h [(645.25±47.22) mL,(30.25±5.52)mL,(50.65±8.61)mL,(120.45±30.64)mL] were less than those in the control group [(698.38±50.87)mL,(63.56±3.53)mL,(99.35±22.96)mL,(198.46±26.87)mL],the differences were statistically significant(P<0.05);there was no significant difference in the total effective rate of treatment, intraoperative blood transfusion rate and postoperative complication rate between the two groups(P>0.05).Conclusion Uterine "gourd" suture ligation has a positive effect on the treatment of post-cesarean hemorrhage, can shorten the operation time, reduce intraoperative and postoperative bleeding, and is worthy of clinical promotion.
作者
王明玉
王琳
Wang Mingyu;Wang Lin(Department of Obstetrics and Gynecology,Dazhou Women's and Children's Hospital,West China Second Hospital,Dazhou Sichuan 635000;Department of Obsetrics and Gynecology,Southuest Hospital Affiliated to Army Medical University,Chongqing 400038,P.R.China)
出处
《中国计划生育和妇产科》
2022年第8期70-73,共4页
Chinese Journal of Family Planning & Gynecotokology
