子宫下段前后壁贯穿缝合联合宫内球囊压迫及子宫动脉上行支结扎治疗前置胎盘剖宫产术中大出血的效果分析
Uterine anterior and posterior wall transfixion suture, combined with intrauterine balloon compression and ligation of ascending branch of uterine artery for the treatment of massive hemorrhage in placenta previa and cesarean section
章建军 1黄真碧2
作者信息
- 1. 瑞安市人民医院 妇产科,浙江 瑞安 325200
- 2. 瑞安市人民医院 血液透析室,浙江 瑞安 325200
- 折叠
摘要
目的 探究子宫下段前后壁贯穿缝合联合宫内球囊压迫及子宫动脉上行支结扎治疗前置胎盘破宫产术中大出血的疗效.方法 选择2015年6月～2017年收治的60例前置胎盘剖宫产术中出血患者,按照随机数表法,随机分为治疗组和对照组,对照组患者采用宫内球囊压迫及子宫动脉上行支结扎方法 ,治疗组患者在对照组治疗方法 基础上采用子宫下段前后壁贯穿缝合治疗.比较2组患者治疗效果及手术情况.结果 治疗组总有效率高于对照组(P<0.05).治疗组术中出血量、术后24 h出血量均低于对照组患者,治疗组患者手术时间、住院时间均低于对照组(P<0.05).结论 子宫下段前后壁贯穿缝合联合宫内球囊压迫及子宫动脉上行支结扎是治疗前置胎盘剖宫产术中大出血的有效方法 ,值得临床推广应用.
Abstract
Objective To explore the curative effect of anterior and posterior wall of the uterus through suture combined with intrauterine balloon compression and uterine artery ascending ligation to treat the hemorrhage of the placenta.Methods In June 2015 to June 2017 in our hospital 60 cases of placenta previa during cesarean section hemorrhage patients, were randomly divided into treatment group and control group , the control of intrauterine balloon compression and ascending branch of uterine artery using the group of patients, patients in the treatment group in the control group based method on the back wall of the lower uterine segment through suture in the treatment of. The curative effect and operation of the two groups were compared.Results The total effective rate was higher in the treatment group than the control group(P<0.05). The intraoperative blood loss, postoperative 24h blood loss of the treatment group patients were lower than the control group, the treatment group patients with operation time, length of hospital stay were lower than the control group(P<0.05).Conclusion The lower uterine segment through anterior and posterior wall suture combined with intrauterine balloon compression and ascending branch of uterine artery ligation is an effective method in treatment of hemorrhage in cesarean section for placenta previa, facilitate clinical application.
关键词
子宫下段前后壁贯穿缝合/宫内球囊压迫/子宫动脉/疗效Key words
anterior and posterior uterine wall transfixion suture/intrauterine balloon compression/uterine artery/curative effect引用本文复制引用
出版年
2017
NETL
NSTL
维普
万方数据