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目的:比较间断环形缝合术与“8”字缝合术在前置胎盘剖宫产术中出血的止血疗效及安全性。方法:将2008年5月-2013年12月我院收治的因前置胎盘行剖宫产术的98例患者随机分为研究组(n=50)和对照组(n=48),研究组采用环形间断缝合止血,对照组采用“8”字缝合止血,比较两种缝合方式的止血效果和术后并发症情况。结果:研究组平均手术时间、术中出血量、止血时间、术中输血量分别为63.15±5.67 min、525.35±130.26 ml、19.46±8.44 min、329.15±25.24 ml,均少于对照组的117.68±10.09 min、725.21±160.25 ml、35.46±10.45rain、548.40±30.54 ml,P均<0.05;研究组的术后并发症发生率为2%,也明显低于对照组的12.5%,P<0.05。结论:与“8”字缝合止血相比,环形间断缝合术操作简单,手术时间短,术中出血量少,输血量少,尤其是对前置胎盘宫颈管内出血的止血效果好,且并发症发生率低,是控制前置胎盘剖宫产术中出血行之有效的止血方法,建议临床推广应用。
Objective: To compare the hemostatic efficacy and safety of intermittent circular suture and “8” suture in bleeding of placenta previa. Methods: A total of 98 patients undergoing cesarean section in our hospital from May 2008 to December 2013 were randomly divided into study group (n = 50) and control group (n = 48). The study group The use of intermittent suture ring hemostasis, the control group using “8 ” suture hemostasis, compared the two methods of hemostasis and postoperative complications. Results: The average operation time, intraoperative blood loss, bleeding time and intraoperative blood transfusion in the study group were 63.15 ± 5.67 min, 525.35 ± 130.26 ml, 19.46 ± 8.44 min and 329.15 ± 25.24 ml, respectively, less than the control group of 117.68 ± 10.09 min, 725.21 ± 160.25 ml, 35.46 ± 10.45rain, 548.40 ± 30.54 ml, P <0.05 respectively. The incidence of postoperative complications in the study group was 2%, which was significantly lower than that in the control group (12.5%, P <0.05). Conclusion: Compared with the “8” suture hemostasis, the ring interrupted suture operation is simple, the operation time is short, less blood loss, less blood transfusion, especially for the placenta previa bleeding effect of cervical bleeding is good, and Low incidence of complications, is to control placenta previa placenta hemorrhage in the line of effective hemostasis method, it is recommended clinical application.