首页|宫颈上提缝合术治疗前置胎盘剖宫产术宫颈管出血的效果探讨

宫颈上提缝合术治疗前置胎盘剖宫产术宫颈管出血的效果探讨

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目的 探讨前置胎盘剖宫产术宫颈管出血患者采取宫颈上提缝合术治疗的效果。方法 选取前置胎盘剖宫产术宫颈管出血患者100例,随机分为观察组(采取宫颈上提缝合术治疗)和对照组(采取宫颈局部缝合治疗),各50例。比较两组患者手术指标及并发症发生率、子宫切除率。结果 观察组手术时间(73。67±2。35)min、止血时间(16。56±1。45)min均短于对照组的(96。73±5。61)、(21。59±2。12)min,术中出血量(758。64±21。41)ml、血浆输入量(112。05±21。04)ml、红细胞悬液输入量(429。88±27。62)ml及术后1 d阴道流血量(99。68±18。70)ml均少于对照组的(876。84±32。13)、(190。11±44。26)、(538。47±43。06)、(168。52±22。30)ml(P<0。05)。观察组并发症发生率4。00%及子宫切除率0均低于对照组的16。00%、8。00%(P<0。05)。结论 宫颈上提缝合术治疗前置胎盘剖宫产术宫颈管出血患者的效果显著,可有效改善手术相关指标,同时安全性较高,值得在临床中推广应用。
The effect of cervical lifting suture in the treatment of cervical bleeding during cesarean section for placenta previa
Objective To explore the effect of cervical lifting suture in the treatment of cervical bleeding during cesarean section for placenta previa. Methods A total of 100 patients with cervical bleeding during cesarean section for placenta previa were selected and randomly divided into an observation group (cervical lifting suture) and a control group (local suture),with 50 cases in each group. The surgical indicators,complication rate and hysterectomy rate were compared between the two groups. Results In the observation group,the operation time was (73.67±2.35) min and the hemostasis time was (16.56±1.45) min,which were shorter than (96.73±5.61) and (21.59±2.12) min in the control group;the intraoperative blood loss was (758.64±21.41) ml,the plasma input was (112.05±21.04) ml,the red blood cell suspension input was (429.88±27.62) ml and the 1-d postoperative vaginal bleeding was (99.68±18.70) ml,which were less than (876.84±32.13),(190.11±44.26),(538.47±43.06) and (168.52±22.30) ml in the control group (P<0.05). The complication rate of the observation group was 4.00% and the hysterectomy rate was 0,which were lower than 16.00% and 8.00% in the control group (P<0.05). Conclusion Cervical lifting suture has a significant effect on patients with cervical bleeding during cesarean section for placenta previa,and can improve the surgical indicators. It has high safety,and is worthy of clinical promotion.

Placenta previaCesarean sectionCervical bleedingCervical lifting sutureHysterectomyLocal suture

李玉玲

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361000 厦门长庚医院

前置胎盘 剖宫产术 宫颈管出血 宫颈上提缝合术 子宫切除 局部缝合

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(23)