摘要
目的比较子宫背带式缝合术与常规止血在剖宫产术中大出血患者中的应用效果和安全性。方法回顾性分析我院2013年6月—2018年8月收治的80例剖宫产大出血患者临床资料,根据术中止血方案分为对照组和观察组各40例。对照组给予常规止血治疗,观察组给予子宫背带式缝合术。对2组手术指征、治疗效果、出血量、手术一般情况、并发症发生率进行比较。结果2组手术指征比较差异无统计学意义(P>0.05)。观察组治疗效果优于对照组,且观察组出血量少于对照组(P<0.01)。观察组手术时间、麻醉恢复时间、住院时间短对照组,满意度高于对照组,术后并发症发生率低于对照组(P<0.01)。结论剖宫产大出血患者采用子宫背带式缝合术治疗效果好于常规止血术,并发症发生率低。
Objective To compare application effect and safety between strap-uterine suture with conventional hemostasis in treatment of massive hemorrhage of patients undergoing cesarean section.Methods Clinical data of 80 patients with massive hemorrhage in cesarean section admitted during June 2013 and August 2018 was retrospectively analyzed,and the patients were divided into control group and observation group(n=40 in each group)according to intraoperative hemostasis program.Control group received conventional hemostasis,while observation group received strap-uterine suture.Surgical indications,therapeutic effects,bleeding volume,general surgery condition and incidence rate of complications were compared between two groups.Results There were no significant differences in surgical indications between two groups(P>0.05).In observation group,therapeutic effect was better,while bleeding volume was less than those in control group(P<0.01).In observation group,operative time,anesthesia recovery time and hospitalization time were shorter,while satisfaction degree was better,and incidence rate of postoperative complications was lower than those in control group(P<0.05).Conclusion Therapeutic effect by strap-uterine suture in treatment of massive hemorrhage of patients in cesarean section is significantly better than that by conventional hemostasis,and its incidence rate of complications is low.
作者
陈晓萍
魏荣富
祝云忠
CHEN Xiao-ping;WEI Rong-fu;ZHU Yun-zhong(Department of Obstetrics and Gynecology,People's Hospital of Dujiangyan City,Dujiangyan,Sichuan 611830,China;Department of Radiology,People's Hospital of Dujiangyan City,Dujiangyan,Sichuan 611830,China)
出处
《解放军医药杂志》
CAS
2020年第1期77-80,共4页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
基金
四川省卫生和计划生育委员会科研课题(18PJ130)
关键词
子宫背带式缝合术
剖宫产术
产后出血
手术后并发症
Strap-uterine suture
Cesarean section
Postpartum hemorrhage
Postoperative complications
