子宫背带式缝合术治疗剖宫产术后出血的效果

The effect of uterine brace suture in the treatment of postpartum hemorrhage in cesarean section

目的探讨子宫背带式缝合术治疗剖宫产术后出血的临床效果。方法纳入我院2015年6月~2017年9月剖宫产术后出血患者86例,根据患者止血治疗方法的不同分为观察组和对照组各43例。观察组给予子宫背带式缝合术治疗,对照组进行传统的子宫动脉结扎、宫腔填塞纱条等治疗。对比两组的临床效果。结果观察组止血有效率显著高于对照组,差异有统计学意义(2=3.56,P<0.05);观察组患者的术后出血量少于对照组(P<0.05),手术与住院时间均短于对照组(P<0.05),术后并发症较对照组少(P<0.05)。结论子宫背带式缝合术治疗剖宫产术后出血治疗效果优于传统方法,能够快速止血,减少术后并发症,安全性高,临床效果显著,具有临床应用价值。

Objective To analyze the effect of uterine brace suture on postpartum hemorrhage in cesarean section.Methods 86 patients of postpartum hemorrhage in cesarean section were analyzed.Depending on the hemostatic treatment,the patients with divided into observation group and the control group（n= 43）.The observation group was treated with uterine brace suture.The control group was treated with the traditional treatment such as uterine artery ligation and uterine cavity filling yarn.The postoperative complications and satisfaction were observed.Results The hemostatic efficiency of the observation group（97.67%）was significantly higher than that of control group（83.72%）（x2=3.56,P〈0.05）.The relative operation and prognosis of the observation group were better than that of the control group（P〈0.05）.The patients in the observation group had less postoperative blood loss,shorter operation time,shorter hospital stay,and few postoperative complications than that of the control group（P〈0.05）.Conclusion Uterine brace suture in the treatment of postpartum hemorrhage in cesarean section has good treatment effect,which can quickly stop bleeding,reduce the occurrence of postoperative complications,have high safety and good clinical effect.