子宫下段垂直平行压迫缝合术与8字缝合术在前置胎盘剖宫产术中的临床效果对比

Comparison of the clinical effect of the vertical parallel suture of lower segment of uterus and 8-word patch suture in the cesarean section of the patients with placenta previa

目的探讨子宫下段垂直平行压迫缝合术在前置胎盘剖宫产术中的临床止血效果。方法选取2016年1月～2017年8月于我院妇产科分娩的80例前置胎盘产妇作为研究对象,随机分为对照组和观察组,各40例。对照组患者术中使用"8"字补丁缝合术止血,观察组患者术中使用子宫下段垂直平行压迫缝合术止血,比较两组患者在手术过程中的出血量、有效止血率、手术时间、术后再次出血率及并发症发生率。结果观察组的术中出血量少于对照组,差异有统计学意义(P<0.05)。观察组的术中有效止血率高于对照组,差异有统计学意义(P<0.05)。观察组的手术时间、住院天数短于对照组,差异有统计学意义(P<0.05)。观察组的术后再次出血率、术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论在前置胎盘剖宫产术中,采用子宫下段垂直平行压迫缝合术对患者进行治疗,可达到短时间内有效止血,降低术后再次出血率及患者术后并发症的效果。

Objective To explore the clinical hemostatic effect of the vertical parallel suture of lower segment of uterus in the cesarean section of the patients with placenta previa. Methods From January 2016 to August 2017, 80 pregnant women with placenta previa delivered in the Department of Obstetrics and Gynecology of our hospital were selected as the research object. They were randomly divided into the control group and the observation group, 40 cases in each group. The patients in the control group received the hemostasis after the operation with the use of and the 8-word patch suture, and the patients in the observation group received the hemostasis after the operation with the vertical and parallel compression suture of the lower uterine segment. The bleeding volume, the effective hemostasis rate, hemostasis time, postoperative rebleeding rate and long-term complication rate were compared between the two groups. Results The amount of bleeding in the observation group was less than that in the control group, the difference was statistically significant (P<0.05). The effective hemostasis rate in the observation group was higher than that in the control group, the difference was statistically significant (P<0.05). The operation time and hospitalization days in the observation group were shorter than those in the control group, the difference was statistically significant (P<0.05). The rate of postoperative re-bleeding and the total incidence of postoperative complications in the observation group were less than those in the control group, the difference was statistically significant (P<0.05). Conclusion In the caesarean section of the placenta previa, the treatment of the patient by vertical and parallel compression suture of the lower uterine segment can achieve effective hemostasis in a short time, reduce postoperative bleeding and reduce postoperative complications of the patients.