摘要
目的探讨不同止血方法治疗剖宫产术后子宫收缩乏力性出血的效果及预后。方法以2013年2月-2015年4月收治的150例剖宫产术后子宫收缩乏力性出血产妇为研究对象,根据治疗方案分为B-Lynch组(75例)、子宫动脉结扎组(25例)及动脉栓塞组(50例),比较3组患者的治疗效果。结果动脉栓塞组手术时间明显短于其他两组,差异有统计学意义(P<0.05)。3组产后出血量、即刻止血率、止血有效率相比差异无统计学意义(P>0.05)。术后随访发现,3组术后卵泡刺激素(FSH)、黄体生成素(LH)、雌二醇(E_2)水平比较差异无统计学意义(P>0.05)。3组术后子宫动脉情况比较差异无统计学意义(P>0.05)。结论 B-Lynch缝合术、双侧子宫动脉上行支结扎术、子宫动脉栓塞对剖宫产术后子宫收缩乏力性出血有明显的效果,具有止血迅速、操作简单等优势,对术后患者的子宫功能恢复无明显影响。
Objective To explore the effects of different hemostatic methods in treatment of postpartum hemorrhage caused by uterine inertia during cesarean section and prognosis. Methods A total of 150 women with postpartum hemorrhage caused by uterine inertia during cesarean section were selected from the hospital from February 2013 to April 2015 as study object, then they were divided into B-Lynch group （75 cases）, uterine artery ligation group （25 cases）, and arterial embolism group （50 cases）, the curative effects in the three groups were compared. Results The operation time in arterial embolization group was statistically significantly shorter than that in the other two groups （P〈0. 05） . There was no statistically significant difference in the amount of postpartum hemorrhage, the rate of immediate he- mostasis, and the efficiency of bleeding among the three groups （P〉0.05） . The results of follow-up showed that there was no statistically significant diffe：cence in the levels of follicle-stimulating hormone （FSH）, luteinizing hormone （LH）, and estradiol among the three groups （P〉0. 05） . There was no statistically significant difference in postoperative uterine artery situations among the three groups （P〉0. 05 ） . Conclusion B-Lynch suture, bilateral uterine artery ligation, and uterine artery embolization have obvious effects on postpartum hemor- rhage, which have the advantages of rapid hemostasis and simple operation, and these methods have no significant effect on postoperative recovery of uterine function.
出处
《中国妇幼保健》
CAS
2016年第24期5281-5284,共4页
Maternal and Child Health Care of China
