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目的探讨子宫下段环形缝扎术治疗前置胎盘致剖宫产后出血的效果及安全性。方法前置胎盘致剖宫产后出血患者30例,采用常规治疗以及局部创面缝合止血无效后,对患者进行子宫下段环形缝扎术治疗,观察止血的效果及其安全性。在患者出院后对其进行为期6个月的随访,观察患者的月经恢复情况。结果 30例患者中28例止血有效,有效率为93.33%,2例止血失败,失败率为6.67%,对其进行子宫动脉上行支结扎;28例成功止血的患者均无并发症发生,在随访期间患者的月经恢复正常,恶露干净时间为20~55 d,平均时间为(37.28±6.24)d,月经恢复时间为50~87 d,平均时间为(72.58±7.70)d。经B超检查,子宫双附件无异常情况。结论子宫下段环形缝扎术操作简单,治疗前置胎盘致剖宫产后出血疗效显著,安全性高,能为患者保留生育能力,值得临床推广应用。
Objective To investigate the effect and safety of circular suture of inferior uterus in treating post-cesarean section bleeding caused by placenta previa. Methods Thirty patients with post-cesarean section hemorrhage were treated with placenta accreta. After routine treatment and local wound suture hemostasis were invalid, the patients underwent circumferential suture of the uterus, and the effect and safety of hemostasis were observed. After the patient was discharged from the hospital for a period of 6 months follow-up observation of the patient’s menstrual recovery. Results Twenty-eight of the 30 patients had effective hemostasis, the effective rate was 93.33%. Two patients failed to hemostasis, with a failure rate of 6.67%. Uterine artery ligation was performed on 28 patients. No complications occurred in the 28 patients. At the follow- During this period, the patient’s menstruation returned to normal. The average time was 50 to 87 days and the average time was (72.58 ± 7.70) days. After B-ultrasound, uterine double attachment no abnormalities. Conclusion The lower uterine ring suture operation is simple, the treatment of placenta previa caused by cesarean section bleeding significant effect, high safety, can retain fertility for patients, it is worthy of clinical promotion and application.