用子宫网压缝合术治疗剖宫产术后难治性出血的效果

CNCS for treatment to intractable postpartum hemorrhage after cesarean delivery

目的:分析用子宫网压缝合术对接受剖宫产手术后发生难治性产后出血的患者进行治疗的效果。方法:将2016年1月至201 7年10月期间在四川省平昌县人民医院接受剖宫产手术后发生难治性产后出血的60例产妇分为对照组和观察组。用8字缝合术对对照组产妇进行治疗,用子宫网压缝合术对观察组产妇进行治疗。治疗结束后,对比两组产妇止血的效果,同时比较其排尽恶露的时间、术后24 h内阴道的出血量及住院的时间。结果:与对照组产妇相比,观察组产妇排尽恶露的时间及住院的时间均较短,其术后24 h内阴道的出血量较少,其止血的总有效率较高,P<0.05。结论:用子宫网压缝合术治疗剖宫产术后难治性产后出血可有效缩短产妇排尽恶露的时间,减少其在术后24 h内阴道的出血量,促进其康复。

objective： to analyze the therapeutic effect of uterine mesh presure suture on patients with intractable postpartum hemorrhage after cesarean section.Methods： 60 cases of refractory postpartum hemorrhage after cesarean section operation in people＇ s hospital of pingchang county, sichuan province from January 2016 to October 2017 were divided into control group and observation group. The control group was treated with 8-word suture and the observation group was treated with uterine mesh suture. After the treatment, the hemostasis effect of the two groups of parturients was compared, and the time of detoxification, the amount of vaginal bleeding within24 hours after surgery and the time of hospitalization were also compared. Results： compared with the control group, the duration of lochia discharge and hospitalization was shorter in the observation group, and the amount of vaginal bleeding was less within 24 h after surgery, and the total hemostasis efficiency was higher, P〈0.05.Conclusion： the treatment of refractory postpartum hemorrhage after cesarean section with uterine mesh pressure suture can effectively shorten the time for the parturient to expel lochia, reduce the amount of vaginal bleeding within 24 hours after surgery, and promote the recovery.