子宫动脉上行支结扎术在产后出血中的治疗作用

Therapeutic effect of uterine artery ascending branch ligation in postpartum hemorrhage

目的分析子宫动脉上行支结扎术在产后出血中的治疗作用.方法选取本院妇产科2016年1月至2018年10月收治的40例产后出血产妇,按照不同治疗方案将其分成两组,各20例.对照组采用缩宫剂+纱条填塞法治疗,观察组采用子宫动脉上行支结扎术,比较两组产妇产后不同时间段的出血情况、治疗效果及并发症发生情况.结果观察组产妇产后2 h出血量为(134.56±16.37)ml,低于对照组的(261.28±22.45)ml,差异有统计学意义(P<0.05);观察组产妇产后24 h出血量为(181.73±16.69)ml,低于对照组的(302.31±34.76)ml,差异有统计学意义(P<0.05);观察组治疗有效率为95.00%,高于对照组的65.00%,差异有统计学意义(P<0.05);观察组并发症发生率10.00%,对照组并发症发生率15.00%,两组并发症发生率比较差异无统计学意义.结论子宫动脉上行支结扎术治疗产后出血能够有效减少产妇产后出血量,治疗效果显著,安全性可靠.

Objective To analyze the therapeutic effect of uterine artery ascending branch ligation in postpartum hemorrhage. Methods 40 women with postpartum hemorrhage admitted to our department from January 2016 to October 2018 were enrolled in this study. The treatment regimens were divided into two groups of 20 patients. The control group was treated with uterine tamponade + gauze packing method. The observation group was treated with uterine artery ascending branch ligation, and the bleeding, treatment effect and complications of the two groups of postpartum women at different time points were compared. Results The postpartum hemorrhage volume of the observation group was (134.56±16.37) ml, which was lower than that of the control group (261.28±22.45) ml, and the difference was statistically significant (P<0.05). The bleeding volume of the observing group was 24 hours after birth (181.73±16.69) ml, which was lower than that of the control group (302.31±34.76) ml, the difference was statistically significant (P<0.05);the effective rate of the observation group was (95.00%), which was higher than that of the control group (65.00%), the difference was statistically significance (P<0.05);the incidence of complications in the observation group was 10.00%, the incidence of complications in the control group was 15.00%, the difference in the incidence of complications between the two groups was not statistically significant. Conclusion Umbilical artery ascending branch ligation can effectively reduce postpartum hemorrhage in postpartum hemorrhage. The treatment effect is remarkable and the safety is reliable.