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目的:对比分析不同手术止血方法对产后出血的临床效果。方法:选取120例在我院经保守治疗无效的行剖宫产分娩后出血而采取手术止血的患者,根据出血原因及部位选择相应的手术方法止血分为观察组和对照组,各60例。观察组行子宫体前后壁贯穿纵行“U”字缝合止血法;对照组行宫旁血管纵行锋扎止血法。比较两组产后卵巢内分泌功能、月经恢复情况。结果:两组FSH、LH和E2比较,两组恶露持续时间[(33.41±3.55)vs(35.68±3.24)d]、第1次月经恢复时间[(110.48±10.87)vs(115.72±12.61)d]、第1次月经量(倍)[(1.19±0.30)vs(1.37±0.35)]、恢复正常月经量所需次数[(2.42±0.84)vs(2.04±0.89)],产后月经周期[(31.05±1.41)vs(32.85±1.80)d]比较,差异均无统计学意义(P>0.05)。结论:采用子宫体前后壁贯穿纵行“U”字缝合止血法和宫旁血管纵行锋扎止血法可以有效治疗子宫收缩乏力引起的产后出血,两种手术方法效果相当,具有止血迅速、操作简便、效果确切等优点,可有效降低患者子宫切除率,减少产后出血量,是安全、有效、快速的手术止血方法。
Objective: To compare and analyze the clinical effect of different surgical hemostasis methods on postpartum hemorrhage. Methods: A total of 120 patients undergoing conservative surgery for hemostasis after cesarean section were delivered by cesarean section were randomly divided into observation group and control group according to the cause of bleeding and surgical operation. Observation group line before and after the uterine wall through the longitudinal “U ” word suture hemostatic method; control group uterine artery vascular longitudinal staking stop bleeding method. The postpartum ovarian endocrine function and menstruation recovery were compared between the two groups. Results: Compared with FSH, LH and E2, the duration of lochia ([(33.41 ± 3.55) vs (35.68 ± 3.24) d], the first menstruation recovery time [(110.48 ± 10.87) vs (115.72 ± 12.61) d (2.42 ± 0.84) vs (2.04 ± 0.89) vs postmenopausal menstrual cycle [(1.19 ± 0.30) vs (1.37 ± 0.35)] and the number of menstrual cycles [ 31.05 ± 1.41 vs 32.85 ± 1.80 d, respectively]. There was no significant difference between the two groups (P> 0.05). Conclusion: The uterine anterior and posterior wall through the longitudinal “U” word suture hemostasis and uterine artery longitudinal stasis frontal hemostasis method can effectively treat postpartum hemorrhage caused by uterine atony, the two surgical methods have the same effect, with rapid hemostasis , Simple operation, the exact effect, etc., can effectively reduce the hysterectomy rate of patients and reduce the amount of postpartum hemorrhage, is a safe, effective and rapid method of surgical bleeding.