改良Cho缝合术治疗产后出血85例临床分析

Improved Cho Suture Surgical Treatment of Postpartum Hemorrhage in 85 cases Clinical Analysis

目的探讨改良Cho缝合术治疗产后出血的临床效果。方法选择该院2007年1月—2011年12月收治的剖宫产产后出血的产妇170例,随机分成对照组和观察组各85例,对照组采用宫腔填塞纱布止血法;观察组采用改良Cho缝合术进行治疗。结果观察组平均术中出血量为(935.8±256.9)mL,平均手术时间(82.4±12.3)min,输血47例,占55.3%,切除子宫0例,有效止血85例,有效率为100.0%,发生产褥病8例,产褥病率为9.4%;对照组平均术中出血量为(1567.4±421.5)mL,平均手术时间(119.3±15.2)min,输血73例,占85.9%,切除子宫12例,占14.1%,有效止血73例,有效率为85.9%,发生产褥病31例,产褥病率为36.5%,两组比较差异有统计学意义(P<0.05)。结论改良Cho缝合术治疗产后出血、操作简单、止血迅速、无并发症值得临床推广。

Objective To investigate the clinical effects of improved Cho suture treatment of postpartum hemorrhage. Methods Our hospital from January 2007 to December 2011, cesarean section postpartum hemorrhage maternal admitted 170 cases were ran- domly divided into control group and observation group, 85 cases in the control group with intrauterine packing gauze hemostasis; observation group were improved Cho suture treatment. Results In observation group,the average volume of intraoperative bleeding was （935.8±256.9）mL,the mean operative time （82.4±12.3）min, blood transfusion 47 cases, accounting for 55.3% , hysterectomy in 0 cases,effective hemostasis of the 85 cases, the effective rate of 100.0%, occurred puerperalism 8 cases of puerperal disease was 9.4%; the average bleeding volume of the control group（1567.4±421.5）mL, mean operative time （119.3±15.2）min, blood transfusion 73 cases, accounting for 85.9%, hysterectomy 12 cases, accounting for 14.1%, effective hemostasis of the 73 cases, the effective rate was 85.9%, the occurrence of 31 cases of puerperal puerperal disease was 36.5%, the two groups have a significant difference （P〈0.05）. Conclusion The modified Cho suture treatment of postpartum hemorrhage, the operation is simple, rapid hemostasis, un- complicated worthy of promotion.