Observation on the application effect of tourniquet combined with lower uterine segment lifting suture in patients with placenta accrete spectrum disorders
Objective To analyze the application effect of tourniquet combined with lower uterine segment lifting suture in patients with placenta accrete spectrum disorders.Methods The clinical data of 76 patients diagnosed with placenta accrete spectrum disorders during operation were retrospectively analyzed,and they were divided into a control group and an observation group according to different methods of placental processing during operation,with 38 cases in each group.The control group was treated with routine placental processing and intrauterine compression hemostasis,and the observation group was treated with tourniquet combined with lower uterine segment lifting suture.The surgery-related indicators,incidence of postoperative complications,quality of life score,hysterectomy and blood transfusion of the two groups was compared.Results In the observation group,the operation time was(92.13±12.60)min,the hospitalization time was(8.44±1.56)d,the intraoperative blood loss was(1023.52±126.43)ml,and the cumulative blood loss within 24 h after delivery was(1130.43±130.74)ml,and the corrected hemoglobin(Hb)was(82.14±9.60)g/L,which were significantly better than(108.34±11.42)min,(10.62±1.88)d,(1402.82±170.53)ml,(1524.87±189.62)ml,and(68.53±8.96)g/L in the control group.The difference was statistically significant(P<0.05).The rate of hysterectomy was 5.26%in the observation group,which was lower than 21.05%in the control group,and the difference was statistically significant(P<0.05).In the observation group,the average volume of red blood cell transfusion were 89.47%and(645.24±56.13)ml,which were significantly lower than 100.00%and(794.75±75.34)ml in the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 7.89%,which was significantly lower than 26.32%in the control group,and the difference was statistically significant(P<0.05).The scores of mental health,emotional function,social function and physiological function in the observation group were(86.22±8.35),(88.09±7.34),(87.24±6.64)and(85.34±7.41)points,which were significantly higher than(80.58±8.77),(82.38±7.44),(82.38±6.77)and(80.08±7.75)points in the control group,and the difference was statistically significant(P<0.05).Conclusion For patients with placenta accrete spectrum disorders,the application of tourniquet combined with the lower uterine segment lifting suture can play a better hemostatic effect,reduce the amount of blood loss,better preserve the patient's uterus and fertility,so as to improve their quality of life.
Placenta accrete spectrum disordersTourniquetLower uterine segment lifting sutureBlood loss
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