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目的观察水囊填塞宫腔压迫止血在前置胎盘剖宫产术的临床疗效。方法选取2010年3月~2013年9月本院收治的前置胎盘剖宫产伴止血困难患者91例,随机分为两组,其中观察组46例,采用水囊填塞宫腔压迫止血治疗,对照组45例,采用纱布填塞宫腔压迫止血治疗,观察两组患者的术中出血量、术后阴道出血量、子宫切除例数和阻塞物停留时间。结果观察组患者术中出血量平均为(874±45)ml,术后阴道出血量平均为(174±11)ml,对照组患者术中出血量平均为(1076±90)ml,术后阴道出血量平均为(278±32)ml,两组患者术中出血量和术后阴道出血量比较差异有统计学意义(P<0.05);观察组子宫切除0例,对照组子宫切除2例(4.4%),两组患者子宫切除例数比较差异有统计学意义(P<0.05);观察组阻塞物停留时间平均为(16.3±3.2)h,对照组阻塞物停留时间平均为(23.9±4.6)h,两组患者阻塞物停留时间比较差异有统计学意义(P<0.05)。结论水囊填塞宫腔压迫止血在前置胎盘剖宫产术的临床疗效好,出血量少,阻塞物停留时间短,值得在临床上予以推广。
Objective To observe the curative effect of hysteroscopic cisteria hemostasis on cesarean section in placenta previa. Methods From March 2010 to September 2013, 91 cases of cesarean section with placenta associated with hemostasis admitted to our hospital were randomly divided into two groups, of which 46 cases in the observation group were treated with intrauterine compression of water sac, The control group of 45 cases, the use of gauze packing intrauterine compression hemostasis treatment, two groups of patients were observed intraoperative blood loss, postoperative vaginal bleeding, hysterectomy cases and obstruction retention time. Results The average amount of intraoperative bleeding in the observation group was (874 ± 45) ml, and the average amount of postoperative vaginal bleeding was (174 ± 11) ml. In the control group, the intraoperative blood loss was (1076 ± 90) ml, The mean amount of bleeding was (278 ± 32) ml, there was significant difference between the two groups in the amount of intraoperative blood loss and postoperative vaginal bleeding (P <0.05); the observation group, hysterectomy in 0 cases, control group, hysterectomy in 2 cases 4.4%). There was significant difference in the number of hysterectomy between the two groups (P <0.05). The average stay time of the obstruction in the observation group was (16.3 ± 3.2) h, and the average residence time of the obstruction in the control group was (23.9 ± 4.6) ) h, two groups of patients with significant differences in retention time of obstruction (P <0.05). Conclusion Hysterosalovascular compression of bleeding in the placenta previa placenta with good clinical efficacy, less bleeding, short residence time of obstruction, it is worth to be promoted clinically.