首页|子宫背带式缝合术在剖宫产术后出血治疗中的应用效果

子宫背带式缝合术在剖宫产术后出血治疗中的应用效果

扫码查看
目的 探讨子宫背带式缝合术在剖宫产术后出血治疗中的应用效果.方法 选取本院进行剖宫产并发生产后出血的100例产妇为研究对象,采用随机数字表法分为两组,各50例.对照组采用宫腔纱布填塞术,试验组采用子宫背带式缝合术,比较两组的治疗效果、手术相关指标、凝血功能及并发症发生率.结果 试验组治疗总有效率为94.0%,高于对照组的74.0%(P<0.05);试验组术后2 h、术后24 h出血量少于对照组,血红蛋白水平高于对照组(P<0.05);试验组凝血酶时间、活化部分凝血活酶时间短于对照组,纤维蛋白原水平高于对照组(P<0.05);试验组并发症发生率低于对照组(P<0.05).结论 子宫背带式缝合术在治疗剖宫产术后出血方面具有确切疗效,能减少产妇出血量,提高凝血功能,降低剖宫产术后并发症发生率,值得临床推广与应用.
The application effect of uterine strap suture in the treatment of postoperative bleeding after cesarean section
Objective To explore the application effect of uterine strap suture in the treatment of postoperative bleeding after cesarean section.Methods 100 parturients who underwent cesarean section and had postpartum hemorrhage in our hospital were selected as the research subjects.They were randomly divided into two groups using a random number table method,with 50 cases in each group.The control group underwent uterine cavity gauze filling surgery,while the experimental group underwent uterine harness suture surgery.The treatment effects,surgical related indicators,coagulation function,and incidence of complications were compared between the two groups.Results The total effective rate of the experimental group was 94.0%,which was higher than the control group's 74.0%(P<0.05);The bleeding volume of the experimental group was less than that of the control group at 2 hours and 24 hours after surgery,and the hemoglobin level was higher than that of the control group(P<0.05);The thrombin time and activated partial thromboplastin time of the experimental group were shorter than those of the control group,and the fibrinogen level was higher than that of the control group(P<0.05);The incidence of complications in the experimental group was lower than that in the control group(P<0.05).Conclusion Uterine strap suture has a definite therapeutic effect in the treatment of postpartum hemorrhage after cesarean section,which can reduce maternal bleeding,improve coagulation function,and reduce the incidence of postoperative complications after cesarean section.It is worthy of clinical promotion and application.

Uterine strap suture surgeryCesarean sectionPostpartum hemorrhageCoagulation function

周琳、陈小平

展开 >

扬州大学医学院,江苏扬州 225009

盐城市第一人民医院 妇产科,江苏盐城 224000

子宫背带式缝合术 剖宫产 产后出血 凝血功能

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(11)
  • 10