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目的观察子宫下截全层“8”字缝合法在难治性产后出血中的临床效果。方法选择2004年2月～2010年3月收治的难治性产后出血患者80例,所有患者均处于休克状态,采用其他方法不能控制出血。按照止血方法的不同随机分为子宫下截全层“8”字缝合法(观察组)40例,行子宫切除术(对照组)40例,并比较两组的手术时间、术中出血、住院天数以及有效率等临床上止血方法的效果。结果观察组止血有效率100%,术后子宫复旧良好,保留了子宫及其生理功能,无严重的并发症发生;对照组止血有效率100%。两组止血效果比较差异无统计学意义(P>0.05),两组手术时间、术中出血、住院天数等比较差异有统计学意义(P<0.05)。结论子宫下截全层“8”字缝合法止血迅速,效果好,保留了患者子宫和生育功能,可替代子宫切除术,有显著的优点及临床实用价值,值得推广应用。
Objective To observe the clinical effect of subterminal truncated full-thickness “8” suture method in intractable postpartum hemorrhage. Methods Eighty patients with refractory postpartum hemorrhage admitted from February 2004 to March 2010 were selected, all of whom were in shock state. Hemorrhage was not controlled by other methods. According to the different methods of hemostasis were randomly divided into subterminal truncated layer “8 ” suture method (observation group) 40 cases, line hysterectomy (control group) 40 cases, and compared the two groups of operation time, intraoperative bleeding , Days of hospitalization, and the effectiveness of clinical methods such as hemostasis. Results The hemostatic efficiency of the observation group was 100%. The postoperative uterine involution was good, the uterus and its physiological functions were preserved, and no serious complication occurred. The control group had a hemostatic efficiency of 100%. There was no significant difference in the hemostatic effects between the two groups (P> 0.05). There was significant difference between the two groups in the operation time, intraoperative bleeding and hospitalization days (P <0.05). Conclusion Under the uterus cut full thickness “8 ” suture method to stop bleeding quickly, the effect is good, retaining the patient’s uterus and reproductive function, can replace hysterectomy, have significant advantages and clinical value, it is worth promoting the application.