子宫背带式缝合术治疗剖宫产产后出血的效果

Effect of uterine strap suture in the treatment of postpartum hemorrhage after cesarean section

目的探讨子宫背带式缝合术在剖宫产产后出血中的作用。方法将重庆市开州区人民医院2013年3月~2018年5月收治的100例剖宫产产后出血患者分为两组,观察组(子宫背带式缝合术组)和对照组(子宫纱块填塞组),观察治疗效果,并统计手术效果(包括产褥病发生率、失血性休克发生率、术中输血率、子宫切除率)及疾病恢复相关指标结果。结果在治疗效果的比较中,观察组治疗总有效率高于对照组;在手术效果及疾病恢复相关指标的对比中,观察组产褥病发生率、术中输血率、失血性休克率、子宫切除率均低于对照组,术中出血量少于对照组,手术时间、住院天数及月经复潮时间均短于对照组,差异有统计学意义(P<0.05)。结论剖宫产产后出血应用子宫背带式缝合术能进行有效止血,降低手术风险,控制术中输血、子宫切除率等,利于患者术后的恢复。

Objective To investigate the effect of uterine strap suture in postpartum hemorrhage after Cesarean section.Methods 100 patients with postpartum hemorrhage after Cesarean section who were admitted to the Kaizhou District People's Hospital of Chongqing from March 2013 to May 2018 were assigned to the two groups,namely the observation group(uterus strap suture group)and the control group(uterus gauze packing group).The therapeutic effect was observed.The effects of surgery(including incidence rate of puerperal diseases,incidence rate of hemorrhagic shock,intraoperative blood transfusion rate and hysterectomy rate)and disease recovery related indicators were also statistically analyzed.Results In the comparison of therapeutic effects,the total effective rate in the observation group was higher than that in the control group;in the comparison of surgical outcomes and disease recovery related indicators,the incidence rate of puerperal diseases,intraoperative blood transfusion rate,hemorrhagic shock rate,and hysterectomy rate in the observation group were lower than those in the control group.The intraoperative blood loss in the observation group was less than that in the control group.The operation time,length of hospital stay and re-menstruation time in the observation group were shorter than those in the control group,and the differences were significant(P<0.05).Conclusion Uterine strap suture for postpartum hemorrhage after Cesarean section can effectively stop bleeding,reduce the risk of surgery,and control intraoperative blood transfusion and hysterectomy rate,and conducive to the postoperative recovery of patients.