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目的:探讨子宫背带式缝合术在剖宫产术中出血的应用。方法:我们收治了2013年6月至2014年6月期间来我院进行剖宫产的150例产妇作为研究对象,利用计算机软件把150例患者随机分成三组,每组分别50例患者。三组分别给予背带式缝合术、方块式缝合术、宫腔填塞止血术,比较观察三组手术时间、术中出血量、术后出血量、宫腔粘连、产褥感染、子宫缺血坏死等并发症出现概率。结果:背带式缝合术的手术时间短于另外两组,术中与术后出血量少于另外两组,而方块式缝合术的手术时间短于宫腔填塞止血术,术中、术后出血量少于宫腔填塞术;术后,宫腔填塞止血组产妇再次出血8例、产褥感染11例,并发症发生率为38%;方块式缝合组产妇再次出血者8例、产褥感染4例及子宫缺血坏死6例,并发症发生率为36%;背带式缝合组产妇再次出血2例及产褥感染3例,并发症发生率为10%,组间对比差异明显(P<0.05)具有统计学意义。结论:子宫背带式缝合术的止血效果良好,且不会引发大量并发症,因此,可被广泛应用于剖宫产术中出血治疗。
Objective: To explore the application of uterine strap suture in cesarean section bleeding. METHODS: We enrolled 150 mothers who had cesarean deliveries in our hospital from June 2013 to June 2014 as study subjects. We used computer software to divide 150 patients randomly into three groups of 50 patients each. Three groups were given strap suture, block suture, intrauterine packing hemostasis, compared three groups of operation time, blood loss, postoperative blood loss, intrauterine adhesions, puerperal infection, uterine ischemia and necrosis The probability of complications. Results: Strap suture operation time was shorter than the other two groups, intraoperative and postoperative bleeding less than the other two groups, and block suture surgery shorter than the intrauterine filling hemostasis, intraoperative and postoperative bleeding 8 cases of uterine bleeding in the intrauterine packing hemostasis group, 11 cases of puerperal infection, the incidence of complications was 38%; square suture group maternal re-bleeding in 8 cases, puerperal infection 4 cases and 6 cases of uterine ischemic necrosis, the complication rate was 36%. In the strap suture group, there were 2 cases of re-bleeding and 3 cases of puerperal infection. The complication rate was 10% (P < 0.05) with statistical significance. Conclusion: The uterus strap suture hemostatic effect is good, and will not lead to a large number of complications, therefore, can be widely used in cesarean section bleeding treatment.