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目的探讨宫颈间断缝合加无齿卵圆钳钳夹术治疗产后子宫收缩乏力出血的有效性和安全性。方法 36例经阴道分娩,无软产道裂伤,发生因子宫收缩乏力引起产后出血患者,经常规治疗无效后,经阴道行宫颈间断缝合加无齿卵圆钳钳夹治疗,观察其治疗效果。结果 36例患者治疗成功,保全子宫,术后无损伤、感染和组织坏死等并发症。两组患者止血起效时间和出血量比较,差异有统计学意义(P<0.01)。结论宫颈间断缝合加无齿卵圆钳钳夹术治疗因子宫收缩乏力导致的产后出血效果确切,建议在产后出血早期使用。
Objective To investigate the effectiveness and safety of cervical suture and toothless oval pliers in the treatment of postpartum uterine atony. Methods 36 cases of vaginal delivery without soft birth canal laceration occurred due to uterine atony after birth in patients with postpartum hemorrhage, after conventional treatment is invalid, the vaginal line suturing and no tooth oval forceps treatment to observe the therapeutic effect. Results 36 patients were successfully treated, preserving the uterus, no postoperative injury, infection and tissue necrosis and other complications. There was significant difference between the two groups in the onset of bleeding and the amount of bleeding (P <0.01). Conclusion Cervical interrupted suturing and no teeth oval pliers clamp treatment of uterine atony due to postpartum hemorrhage caused by the exact effect, it is recommended early postpartum hemorrhage.