子宫体双侧弓形动脉缝扎术在子宫收缩乏力性出血中应用效果观察.docVIP

子宫体双侧弓形动脉缝扎术在子宫收缩乏力性出血中应用效果观察 　　【摘要】目的：探讨子宫体双侧弓形动脉缝扎术在剖宫产术中子宫收缩乏力性出血患者中的应用效果。方法：选择我院2010年4月至2013年1月收治的88例行剖宫产术中子宫收缩乏力性出血产妇作为研究对象，按发生子宫收缩乏力性出血保守治疗无效后采取的止血方法分为实验组和对照组，实验组为子宫体双侧弓形动脉缝扎术，对照组为其它止血方法，比较两组患者手术时间、出血量、止血效果及子宫循环恢复情况。结果：实验组手术时间明显短于对照组，差异有统计学意义（P005）。两组患者止血效果相当，差异无统计学意义（u005）。手术后6～12个月内，实验组和对照组分别有32例、29例产妇来院复查。结果发现两组患者子宫循环恢复良好，在子宫动脉显影例数、子宫动脉直径、子宫动脉RI及S/D值方面比较差异无统计学意义（P005）。结论：子宫体双侧弓形动脉缝扎术对子宫收缩乏力性出血止血效果良好，对子宫循环影响不大，具有操作简单、手术时间短的特点，值得在临床上推广。 　　【关键词】子宫收缩乏力性出血；剖宫产术；子宫体双侧弓形动脉缝扎术 　　【Abstract】Objectives： To analyze the effects of bilateral arcuate artery suture hemostasis on postpartum hemorrhage due to uterine inertia. Methods： 88 cesarean section parturients with uterine inertia in our hospital from April 2012 to February 2014 were selected and divided into experimental group and control group. Experimental group were treated with bilateral arcuate artery suture hemostasis， and the control group were treated with other hemostatic method. The operation time， bleeding volume， hemostatic effect and uterine circulation recovery of the two groups were compared. Results： Operation time of experimental group was shorter than that of control group， with statistically significant difference （P005）. The hemostatic effect of two groups were close， with no statistically significant difference （u005）. The two group both had good uterine circulation recovery and the number of cases of uterine artery developing， uterine artery diameter， RI and S/D value of uterine artery of two groups had no significant differences （P005）. Conclusion： Bilateral arcuate artery suture hemostasis has good hemostatic effect with the characteristics of simple operation， short operation time， which is worth promoting in clinical practice. 　　【Key words】Postpartum hemorrhage due to uterine inertia； Cesareansection； Bilateral arcuate artery suture hemostasis 　　【中图分类号】R711.74【文献标志码】A 　　产后出血是比较常见的产科并发症，占到了产科出血的854%[1]。有研究[2]指出，产后出血的发生率随产妇年龄的增长而增加。随着晚婚晚育的观念的普及，我国高龄产妇日益增多，导致产后出血的发生率也快速上升。子宫收缩乏力性出血是产后出血最主