引用本文:刘 薇,刘 萍,王云霞.子宫下段横形环状压迫缝合术治疗前置胎盘剖宫产术中胎盘剥离面出血的效果分析[J].中国临床新医学,2019,12(12):1335-1338.
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子宫下段横形环状压迫缝合术治疗前置胎盘剖宫产术中胎盘剥离面出血的效果分析
刘 薇,刘 萍,王云霞
518000 广东,深圳市福田区妇幼保健院妇产科
摘要:
[摘要] 目的 分析应用子宫下段横形环状压迫缝合术治疗前置胎盘剖宫产术中出现胎盘剥离面出血的效果。方法 选取2017-01~2017-06该院67例前置胎盘剖宫产术中发生胎盘剥离面出血采用传统的“8”字缝合方法止血的患者作为对照组,选取2017-07~2017-12该院67例前置胎盘剖宫产术中发生胎盘剥离面出血采用子宫下段横形环状压迫缝合术止血的患者作为观察组。观察对比两组手术时间、术中失血量、术后24 h出血量、缩宫素应用量、术后并发症情况及子宫切除率。结果 观察组手术时间、术中失血量、术后24 h出血量低于对照组(P<0.01),两组缩宫素应用量比较差异无统计学意义(P>0.05)。两组晚期产后出血、子宫复旧不全及术后切口感染发生率比较差异无统计学意义(P>0.05)。观察组子宫切除率为0.00%,低于对照组的8.96%(P<0.05)。结论 前置胎盘剖宫产术中出现胎盘剥离面出血后,采用子宫下段横形环状压迫缝合术治疗可以达到理想的止血效果,适于临床推广。
关键词:  子宫下段横形环状压迫缝合术  前置胎盘  剖宫产术  胎盘剥离面出血
DOI:10.3969/j.issn.1674-3806.2019.12.20
分类号:R 719
基金项目:
Analysis of effect of transverse circular compression suture of lower uterine segment on hemorrhage of placenta dissection surface in cesarean section of placenta previa
LIU Wei, LIU Ping, WANG Yun-xia
Department of Obstetrics and Gynecology, Maternal and Child Health Hospital of Futian District, Shenzhen City, Guangdong 518000,China
Abstract:
[Abstract] Objective To investigate the effect of transverse circular compression suture of lower uterine segment on treating the hemorrhage of placenta dissection surface in the cesarean section of placenta previa. Methods Sixty-seven patients with hemorrhage of placental dissection surface during cesarean section of placenta previa who received hemostasis with traditional “8” suture method in our hospital from January 2017 to June 2017 were selected as the control group. Other sixty-seven patients with hemorrhage of placental dissection surface during cesarean section of placenta previa who received transverse circular compression suture of lower uterine segment in our hospital from July 2017 to December 2017 were selected as the observation group. The operation time, the amount of intraoperative blood loss, the amount of bleeding after operation for 24 hours, the oxytocin usage, the postoperative complications and the hysterectomy rate were observed and compared between the two groups. Results The operation time of the observation group was significantly shorter than that of the control group(P<0.01). The amount of intraoperative blood loss and the bleeding volume after operation for 24 hours in the observation group were significantly less than those in the control group(P<0.01). There was no significant difference in the oxytocin usage between the two groups(P>0.05). There were no significant differences in the incidence rates of late postpartum hemorrhage, poor uterine involution and postoperative incision infection between the two groups(P>0.05). The rate of hysterectomy in the observation group(0.00%) was significantly lower than that in the control group(8.96%)(P<0.05). Conclusion Transverse circular compression suture of lower uterine segment is effective in treatment of hemostasis after the bleeding of placenta dissection surface during cesarean section of placenta previa and is suitable for clinical application.
Key words:  Transverse circular compression suture of lower uterine segment  Placenta previa  Cesarean section  Bleeding of placenta dissection surface