子宫压迫缝合术在剖宫产产后出血治疗中作用分析.docVIP

子宫压迫缝合术在剖宫产产后出血治疗中作用分析 　　【基金项目】广东省惠州市科委资助课题。 　　【第一作者简介】魏红（1977-），女，主治医师，主要从事产科临床诊治与研究工作。?性医学? 　　DOI:10.3969/j.issn.1672-1993.2014.07.007 　　【摘要】目的:探讨子宫压迫缝合术在产后出血治疗中的作用效果。方法:以我院2012年1月至2014年1月间，收治的126例各类产后出血缩宫素无效患者为研究对象，按患者使用的止血方式，我们将研究对象分为观察组（68例）及对照组（58例），观察组患者使用子宫压迫缝合术止血，对照组使用常规止血方法。比较两组患者手术情况、治疗效果、术后子宫血供情况和术后并发症发生情况之间的差异。结果:观察组患者术中和术后出血量少于对照组，临床治疗效果优于对照组，术后子宫血供好于对照组，术后并发症发生率低于对照组，其差异皆有统计学意义(P0??05)。结论:子宫压迫缝合术可以有效治疗产后出血，其临床效果明确，对子宫造成的损伤较小，术后并发症较少。 　　【关键词】产后出血;子宫压迫缝合;止血 　　Effect of uterine compression suture in the treatment of postpartum hemorrhageWEI Hong, DAI Zhefan, HUANG Xiuzhi. Department of Obstetrics, Central Hospital of Hui Zhou, Huizhou 516001, China 　　【Abstract】Objectives: To expore the effect of uterine compression suture in the treatment of postpartum hemorrhage. Method: 126 puerpera with postpartum hemorrhage in our hospital between January 2012 and January 2014 were selected and divided into observation group (68 cases) and control group (58 cases) based on their treatment plan. The conventional hemostatic method was used in the control group, while the observation group adopted uterine compression suture. The differences in hemostatic effect, operation degree, postoperative uterine blood supply situation and incidence of complications between the two groups were compared. Results: The amount of bleeding of the observation group was less than the control group with better clinical effect, postoperative uterine blood supply and lower incidence of complications. Conclusions: Using uterine compression suture in the treatment of postpartum hemorrhage is of good efficacy, with less damage to uterus and fewer complications. 　　【Key words】Postpartum hemorrhage; Uterine compression suture; Surgical hemostasis 　　【中图分类号】R714.46【文献标志码】A 　　 　　产后出血是指胎儿自娩出24h内，产妇出血量大于500mL的情况\[1\]，是孕产妇围产期死亡的主要原因之一\[2\]。有研究显示，产后出血导致的子宫切除率为0??15%，其中约有50%的患者为前置胎盘、30%的患者为宫缩乏力，10%患者为宫颈撕裂，另有10%患者为其他原因所致\[3\]。目前，在产后出血处理方法方面也有大量研究和临床实践经验，其治疗策略主要是集中在降低产后出血死亡率的同时，有效保留产妇子