宫体缝扎联合米索治疗剖宫产时子宫收缩乏力的临床观察

Clinical Observation of Uterine Compression Suture Combined with Misoprostol in the Treatment of Uterine Atony resulting from PPH

目的:探讨宫体局部缝扎联合米索前列醇在治疗剖宫产时子宫收缩乏力者产后出血量的临床效果。方法:回顾性分析某医院剖宫产术中出现子宫收缩乏力、出血大于400ml者,观察组40例予宫体局部缝扎联合米索前列醇400UG应用,对照组38例予缩宫素20U静脉应用,40U宫体局部肌注。比较两组产后出血量及产后出血率。结果:宫体局部缝扎联合米索前列醇治疗剖宫产术中子宫收缩乏力者产后出血量及产后出血率均明显低于对照组,两组比较差异有统计学意义(P<0.05)。结论:宫体局部缝扎联合米索前列醇治疗剖宫产术中的子宫收缩乏力可以明显减少产后出血量,降低产后出血率,且操作简单、效果确切,是治疗剖宫产术中子宫收缩乏力的有效手段。

Objective： To explore the clinic effects of uterine compression suture combine with misoprostol in treatment of uterine atony resulting from PPH. Methods： Total 78 patients with uterine atony resulting from PPH were investigated .40 patients were treated with uterine compression suture combine with misoprostol, and the control group was given 20U oxytocin injection alone. Results： Amount and rate of postpartum haemorrhage in treatment group was significantly decreased as compared with the control group（P〈0.05）. Conclusion： uterine compression suture combined misoprostol was effective in the treatment of uterine atony resulting from PPH.