首页|子宫背带式缝合术治疗剖宫产产后出血的疗效及并发症观察

子宫背带式缝合术治疗剖宫产产后出血的疗效及并发症观察

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目的 分析在剖宫产产后出血治疗中,采用子宫背带式缝合术治疗方案的临床有效机制。方法 回顾性分析2021年5月—2022年5月于本院行剖宫产治疗的患者共计60例。其中分析组(n=30)采取子宫背带式缝合术治疗,参比组(n=30)采取传统填塞纱布治疗。比较两组手术时间、术后转归指标、住院时间及并发症发生率。结果 分析组手术时间较参比组短,术中出血量较参比组低,数据比较差异有统计学意义(P<0。05);但两组术后阴道出血量比较差异不大(P>0。05)。分析组下床活动时间、宫缩持续时间、恶露持续时间及住院时间均显著短于参比组,数据比较差异有统计学意义(P<0。05)。分析组并发症发生率显著低于参比组,数据比较差异有统计学意义(χ2=6。648,P=0。009)。结论 在剖宫产产后出血治疗中,采用子宫背带式缝合术治疗,利于缩短手术时间,降低术中出血量,同时还可促进临床症状转归,降低并发症发生率,可推广。
Curative Effect and Complications Observation of Uterine Strap Suture in Treatment of Postpartum Hemorrhage after Cesarean Section
Objective To analyze clinical effective mechanism of uterine harness suture in treatment of postpartum hemorrhage after cesarean section.Methods The paper reviewed and analyzed 60 patients with cesarean section treatment in our hospital from May 2021 to May 2022.Among them,analysis group(n=30)was treated with uterine strap suture,and reference group(n=30)with traditional gauze filling.Surgical time,postoperative outcome indicators,length of stay,and incidence of complications were compared between two groups.Results Analysis group had shorter surgical time and lower intraoperative bleeding than control group,data comparison was significant(P<0.05).However,there was no significant difference in postoperative vaginal bleeding between two groups(P>0.05).Out of bed time,duration of uterine contractions,duration of lochia,length of stay in analysis group was significantly shorter than control group,data comparison was significant(P<0.05).Incidence of complications in analysis group(4 cases,accounting for 13.33%)was significantly lower than control group(13 cases,accounting for 43.33%),data comparison was significant(χ2=6.648,P=0.009).Conclusion During treatment of postpartum hemorrhage after cesarean section,uterine harness suture surgery can help shorten surgical time,reduce intraoperative bleeding,promote clinical symptom recovery,and reduce incidence of complications,which can be promoted.

Uterine strap sutureCesarean sectionPostpartum hemorrhageClinical effectComplications

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民勤县人民医院 妇产科,甘肃 武威 733300

子宫背带式缝合 剖宫产 产后出血 临床疗效 并发症

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(3)
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