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目的:探讨尽早缝合子宫(A法)对前置胎盘剖宫产时出血的止血效果。方法:对65例前置胎盘(含27例中央性前置胎盘)剖宫产病例进行回顾性总结分析。近5年来(A组),采用尽早缝合子宫切口法(A法)及改良B法与5年前(B组)“8”字缝扎法(B法)比较。结果:尽早缝合子宫止血法在手术时间、产后出血率、输血率等方面明显优于其他止血法。结论:尽早缝合子宫止血法在前置胎盘剖宫产时是胎盘剥离面引起出血时的有效止血方法之一。
Objective: To explore the early suture the uterus (A method) on the placenta previa bleeding during hemostasis. Methods: 65 cases of placenta previa (including 27 cases of central placenta previa) cesarean section were retrospectively analyzed. In the recent 5 years (group A), the method of suture incision as early as possible (method A) and modified B method were compared with the method of “8” suture (method B) 5 years ago (group B). Results: As early as possible, suture hemostasis method in the operation time, postpartum hemorrhage rate, blood transfusion rate and other aspects was significantly better than other hemostatic method. Conclusion: As early as possible, suture hemostasis method in the placenta previa placental cesarean section is one of the effective hemostasis when bleeding caused by placental surface.