子宫背带式缝合治疗宫缩乏力性剖宫产术后出血的疗效观察

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目的观察子宫背带式缝合治疗宫缩乏力性剖宫产术后出血患者的疗效。方法选取我院2013年4月~2015年1月收治的宫缩乏力性剖宫产术后出血患者72例作为研究对象,根据止血方法将其分为对照组和观察组,各36例。对照组给予传统方法治疗,观察组经子宫背带式缝合术治疗,比较两组止血效果、产后出血量、手术时间、子宫切除率、产褥病率。结果 1观察组止血有效率为97.22%,对照组止血有效率为80.56%,两组比较差异有统计学意义(P<0.05)。2观察组产后出血量、手术时间均短于对照组,差异有统计学意义(P<0.05)。3观察组子宫切除率、产褥病率均低于对照组,差异有统计学意义(P<0.05)。结论子宫背带式缝合术治疗宫缩乏力性剖宫产术后出血的疗效显著,产后出血量少,手术时间缩短,值得临床推广与应用。 Objective To observe the curative effect of uterine suture strap suture in patients with uterine bleeding after cesarean section. Methods Seventy-two patients with post-uterine bleeding after cesarean section were selected from April 2013 to January 2015 in our hospital. The patients were divided into control group and observation group according to the method of hemostasis. The control group was treated by traditional method. The observation group was treated by uterine suture strap suture. The hemostatic effect, postpartum hemorrhage, operation time, hysterectomy rate and puerperal morbidity were compared between two groups. Results 1 The effective rate of hemostasis in observation group was 97.22%, and the effective rate of hemostasis in control group was 80.56%. There was significant difference between the two groups (P <0.05). The observation group postpartum hemorrhage volume, operation time were shorter than the control group, the difference was statistically significant (P <0.05). 3 The observation group, the rate of hysterectomy, the rate of puerperal are lower than the control group, the difference was statistically significant (P <0.05). Conclusion Uterine suture strap suture treatment of uterine atony after cesarean section bleeding significant effect, less postpartum hemorrhage, shorter operative time, it is worth clinical application and promotion.
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