首页|子宫下段横形环状压迫缝合术治疗前置胎盘剖宫产术中胎盘剥离面出血的疗效

子宫下段横形环状压迫缝合术治疗前置胎盘剖宫产术中胎盘剥离面出血的疗效

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目的 分析子宫下段横形环状压迫缝合术(TACS)在前置胎盘剖宫产术中胎盘剥离面出血的临床疗效.方法 选取90例前置胎盘患者,患者均接受剖宫产术治疗,根据患者住院时的床位编号随机分为研究组与对照组,每组45例.对照组采用常规治疗,即"8"字缝合,研究组采用TACS治疗,对比两组临床疗效.结果 两组缩宫素用量比较差异无统计学意义(P>0.05),研究组术中时间短于对照组,术中出血量、术后24 h出血量均明显少于对照组(P<0.05).研究组并发症发生率低于对照组(P<0.05).结论 对于剖宫产中胎盘剥离面出血患者,TACS治疗临床疗效显著,安全性较高,值得临床推广与应用.
The therapeutic effect of transverse circular compression suturing of the lower segment of the uterus in the treatment of placental abruption bleeding during cesarean section with placenta previa
Objective To analyze the clinical effect of transverse annular compression suture(TACS)of the lower segment of uterus in the treatment of hemorrhage on the detached surface of placenta during placental previa cesarean section.Methods 90 patients with placenta previa were selected,all of whom were treated by cesarean section.They were randomly divided into study group and control group according to their hospital bed number,with 45 cases in each group.The control group was treated with conventional treatment,namely"8"suture,and the study group was treated with TACS.The clinical efficacy of the two groups was compared.Results There was no significant difference in the amount of oxytocin between the two groups(P>0.05).The intraoperative time of the study group was shorter than that of the control group,and the amount of intraoperative blood loss and 24 h postoperative blood loss were significantly less than that of the control group(P<0.05).The complication rate of the study group was lower than that of the control group(P<0.05).Conclusion For patients with hemorrhage of placental detachment during cesarean section,TACS has significant clinical efficacy and high safety,which is worthy of clinical promotion and application.

Transverse annular compression suture of lower uterine segmentPlacenta previa cesarean sectionPlacental detachment surfaceClinical effect

吴阿丽

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徐州医科大学附属医院 妇产科,江苏 徐州 221000

子宫下段横行环状压迫缝合术 前置胎盘剖宫产 胎盘剥离面 临床疗效

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(15)