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目的:探讨应用子宫浆肌层缝扎加双侧子宫动脉上行支结扎对产后出血的治疗效果。方法:选择2009年1月～2012年12月剖宫产产妇共80例,所有患者在行剖宫产术中均有子宫腔内出血的表现,其中对照组57例,经子宫按摩,催产素等干预治疗,出血状况得以改善,选择23例经干预治疗后效果较差,给予子宫浆肌层缝扎加双侧子宫动脉上行支结扎术,对两组患者产后出血情况进行比较。结果:对照组57例,产后出血11例(19.30%),出血量(842.14±45.08)ml,血性恶露消失时间(8.76±3.49)天;观察组23例,产后出血2例(8.70%),出血量(624.67±13.23)ml,血性恶露消失时间(5.13±2.27)天;两组产后出血情况,观察组显著优于对照组(P<0.05)。结论:对产后出血患者行子宫浆肌层缝扎加双侧子宫动脉上行支结扎术,其操作简便,方便易行,止血效果显著确切,安全性较高,是控制产后出血、避免子宫切除的高效保守性措施,值得临床大力推广。
Objective: To explore the application of uterine myometrial suture plus bilateral uterine artery ligation of the postpartum hemorrhage ligation effect. Methods: A total of 80 cesarean section women were selected from January 2009 to December 2012. All patients underwent cesarean section with intrauterine hemorrhage. Among them, 57 cases in the control group were treated by uterine massage, oxytocin, etc. Intervention treatment, hemorrhagic condition can be improved, the treatment effect of 23 cases was poor after intervention. Uterine myometrial suture was given plus bilateral uterine artery ligation. The postpartum hemorrhage was compared between the two groups. Results: There were 57 cases in the control group, 11 cases (19.30%) in postpartum hemorrhage, 842.14 ± 45.08 ml in ml and 8.76 ± 3.49 days in bloody lochia, 23 cases in observation group and 2 cases in postpartum hemorrhage (8.70% The amount of bleeding (624.67 ± 13.23) ml, bloody lochia disappear time (5.13 ± 2.27) days; postpartum hemorrhage in both groups, the observation group was significantly better than the control group (P <0.05). Conclusion: The patients with postpartum hemorrhage underwent uterine myometrial suture plus bilateral uterine artery ligation, the operation is simple, easy to operate, hemostatic effect was significant and safe, is to control postpartum hemorrhage, to avoid hysterectomy Efficient and conservative measures, it is worth clinical promotion.