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目的:探讨剖宫产术中宫颈捆扎联合X形子宫缝扎术治疗剖宫产产后出血的效果。方法:将40例剖宫产术中发生产后出血的患者随机分为实验组(20例)和对照组(20例)。实验组行宫颈捆扎联合X形子宫缝扎术;对照组行“8”字缝合,结扎双侧子宫动脉,宫腔填塞纱条。结果:实验组在平均出血量、平均手术时间、子宫切除、产褥病率方面明显优于对照组,差异有高度统计学意义(P<0.01);两组无一例因血液循环不良或再出血而行二次手术或子宫切除。结论:宫颈捆扎联合X形子宫缝扎术具有操作简单、止血迅速、安全易行等优点,治疗剖宫产产后出血效果显著。
Objective: To investigate the effect of cervical banding combined with X-shaped uterine suture in cesarean section for cesarean section postpartum hemorrhage. Methods: Forty patients with postpartum hemorrhage during cesarean section were randomly divided into experimental group (n = 20) and control group (n = 20). The experimental group underwent cervical banding combined with X-shaped uterine suture. The control group was sutured with “8” suture, bilateral uterine artery was ligated, and the uterine cavity was stuffed with gauze. Results: The experimental group was significantly better than the control group in the average amount of bleeding, mean operative time, hysterectomy and puerperal morbidity, the difference was highly statistically significant (P <0.01); no cases of poor blood circulation or rebleeding The line of secondary surgery or hysterectomy. Conclusion: The cervical banding combined with X-shaped uterine suture has the advantages of simple operation, rapid hemostasis, safe and easy to operate, and has significant effect in treating hemorrhage after cesarean section.