改良褥式缝合术在减少剖宫产术后大出血中的应用价值

Application value of improved pad type suture technique in reducing postoperative bleeding after cesarean section

目的探讨改良褥式缝合术在减少剖宫产术后大出血中的应用价值。方法选取2012年9月至2014年12月剖宫产产妇130例,依据随机分配原则分为改良组和对照组,对照组给予B-lynch缝合术治疗,改良组给予改良褥式缝合术治疗,随访1年,统计分析所有产妇术前术后血清性激素、出血及并发症发生情况。结果改良组术后2、12、24 h出血量和大出血发生率明显低于对照组(P<0.05);两组术前、术后血清性激素及并发症发生率比较差异未见统计学意义(P>0.05)。结论改良褥式缝合术可有效减少剖宫产术后出血量及出血率,对机体卵巢功能无不良影响,且不增加并发症发生的风险。

Objective To inverstigate the application value of improved pad type suture technique in reducing postoperative bleeding after cesarean section. Methods One hundred and thirty parturient accepting cesarean section were selected. According to the random distribution,they were divided into improved group and control group. The control group was given B-lynch suture and the improved group was given improved pad type suture technique. Followed up for 1 year,the serum sex hormones,bleeding and complications pre-and postoperative of the two groups were analyzed. Results The postoperative bleeding 2,12,24 h after operation and postpartum haemorrhage rate in the improved group were significantly lower than those in the control group（ P 0. 05）. There was no significant difference in the incidence of serum sex hormones or complications between the two groups before-and ofter operation（ P 0. 05）. Conclusion Improved pad type suture technique can effectively reduce the bleeding volume and the incidence bleeding postoperatively in parturient with cesarean delivery,and it has no adverse effect on the body ovarian function,and there is no increased risk of complications.