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目的:对比宫腔填塞法与子宫血管结扎治疗剖宫产术后出血的临床效果。方法:剖宫产术后出血产妇60例根据止血方法的不同分为治疗组20例与对照组40例,对照组采用宫腔填塞法进行治疗,治疗组采用子宫血管结扎治疗。结果:所有产妇都止血成功,无子宫切除发生。经过观察,治疗组的止血手术时间和术中出血量明显少与对照组(P<0.05),2组主要并发症对比差异无统计学意义(P>0.05)。结论:子宫血管结扎治疗剖宫产术后出血避免了子宫切除,手术时间快,对于产妇的创伤比较少,安全性好,在临床上值得推广。
OBJECTIVE: To compare the clinical effects of intrauterine packing and uterine vascular ligation in the treatment of bleeding after cesarean section. Methods: Sixty cases of postpartum bleeding maternal cesarean section were divided into treatment group (n = 20) and control group (n = 40) according to the method of hemostasis. The control group was treated by intrauterine packing, and the treatment group was treated by uterine vascular ligation. Results: All mothers stopped bleeding without hysterectomy. After treatment, the hemostasis operation time and intraoperative blood loss in the treatment group were significantly less than those in the control group (P <0.05). There was no significant difference in the main complication between the two groups (P> 0.05). Conclusion: Uterine vascular ligation treatment of cesarean section to avoid bleeding after hysterectomy, the operation time is fast, less maternal trauma, good safety, it is clinically worth promoting.