子宫横形捆绑在凶险性前置胎盘术中出血的应用及对PT、APTT、FIB的影响

Application of Horizontal Uterine Tying in Bleeding During Menacing Placenta Previa and Its Effect on Blood Coagulation Function

目的研究子宫横形捆绑在凶险性前置胎盘术中出血的应用及对部分凝血酶原时间(APTT)、凝血酶原时间(PT)、纤维蛋白原(FIB)的影响。方法回顾性分析2017年12月至2019年5月临沂市平邑县医院接收的96例凶险性前置胎盘患者,按照治疗方法的不同分为对照组和实验组,各48例。对照组使用子宫动脉上行支结扎术治疗,实验组则使用子宫横形捆绑治疗。结果与对照组相比,实验组术中及术后2 h、24 h出血量均明显减少;与术前相比,术后24 h 2组APTT、PT延长,且实验组明显延长;2组FIB均升高,且实验组高于对照组;实验组并发症发生率为2.08%,低于对照组的12.5%(P<0.05)。结论子宫横形捆绑术应用于凶险性前置胎盘患者,可延长APTT、PT,升高FIB,增强凝血功能,降低术中及术后出血量,减少并发症。

Objective To study the application of transverse binding of uterus in the operation of placenta previa and its influence on PT,APTT,FIB.Methods Retrospective analysis was performed on 96 patients with dangerous placenta previa admitted to pingyi county hospital in linyi city from December 2017 to May 2019.According to different treatment methods,the patients were divided into control group and experimental group with 48 cases each.The control group was treated with ligation of ascending branch of uterine artery,while the experimental group was treated with transverse uterine binding.Results Compared with the control group,the amount of bleeding in the experimental group reduced at 2 hours and 24 hours after operation;at 24 hours after operation,compared with the control group,the blood loss in the experimental group reduced during and at 2 hours and 24 hours after operation.Compared with before surgery,APTT and PT were prolonged in the two groups at 24 hours after operation,and the experimental group prolonged.All increased,and the experimental group was higher than the control group,the incidence of complications in the experimental group was 2.08%,lower than 12.5%in the control group(P<0.05).Conclusion Transverse binding of uterus can extend PT,APTT,,increase FIB,reduce the amount of bleeding during and after operation,enhance coagulation function and reduce the incidence of complications.