宫颈子宫下段环形缝合术在前置胎盘剖宫产术中出血的临床应用

Clinical application of circular suture in cervical and lower uterine segment in treating hemorrhage of placenta previa in cesarean section

目的观察宫颈子宫下段环形缝合术在治疗前置胎盘剖宫产术中子宫下段顽固性出血中的应用效果。方法选取安徽医科大学附属安庆医院2014年12月1日至2016年8月31日前置胎盘行剖宫产术中子宫下段出血的患者49例,其中20例行宫颈子宫下段环形缝合术(研究组),29例行传统手术(对照组),对比分析两组患者的围手术期资料。结果两组患者在一般资料、前置胎盘类型及手术时间等方面差异无统计学意义(P>0.05);观察组术中出血量明显低于对照组,差异具有统计学意义(P<0.05)。结论前置胎盘剖宫产术中子宫下段顽固性出血采用宫颈子宫下段环形缝合止血效果好,操作简单易行,可作为剖宫产术中治疗前置胎盘子宫下段顽固性出血的有效缝合方法之一,值得临床推广应用。

Objective Observe the value of circular suture in cervical and lower uterine segment for treating intractable hemorrhage during caesarean section with placenta previa. Methods Forty-nine patients in Affiliated Anqing Hospital of Anhui Medical University with intractable hemorrhage of lower uterine segment during caesarean section with placenta previa were included,from December 1,2014 to August 31,2016. In the study group,twenty cases were treated with circular suture in cervical and lower uterine segment.While in control group,twenty-nine cases were treated with traditional surgery.Compare the perioperative data of two groups of patients.Results There was no statistically significant difference in general information,type of placenta previa and the operation time between the two groups（P〉0.05）. The perioperative bleeding of the observation group is obviously less than the control group（P〈0.05）.Conclusion Circular suture in cervical and lower uterine segment has good hemostatic effect for treating intractable hemorrhage during caesarean section with placenta previa.The operation is simple and easy,can be used as one of the effective suture methods for treating lower uterine segment＇s intractable hemorrhage of placenta previa,worthy of clinical application.