子宫下段前后壁贯穿缝合治疗前置胎盘剖宫产术中出血的临床分析

Clinical Analysis of Intrauterine Hemorrhage in Cesarean Section of Placenta Previa Treated by Perforating the Anterior and Posterior Segments of the Uterus

目的研究分析子宫下段前后壁贯穿缝合治疗前置胎盘剖宫产术中出血的临床效果。方法研究选取2015年1月至2019年1月我院收治的前置胎盘剖宫产术中出血患者160例,将其运用随机数字表格法分为对照组、观察组各80例,对照组使用子宫动脉上行结扎止血,观察组使用子宫下段前后壁贯穿缝合止血治疗。对比两组出血量、子宫切除率等指标情况。结果两组产妇经对症处理后,均未出现产褥病;观察组患者手术时间、术中出血量、子宫切除率、住院时间等均明显低于对照组(P<0.05)。结论临床中对前置胎盘剖宫产术中出血患者使用子宫动脉上行结扎与子宫下段前后壁贯穿缝合治疗,后者具有操作简单、止血效果快速,且可保留患者子宫,具有显著的临床价值,值得推广。

Objective To study the clinical effect of trans-abdominal perforation of the uterus in the treatment of placental cesarean section hemorrhage.Methods They were divided into control group and observation group with 80 cases each,using random number table method.Control group Uterine arteries were used for ligation to stop the bleeding.The observation group was treated with suture and hemostasis through the lower uterine segment of the uterus.The hemorrhage volume and hysterectomy rate were compared between the two groups.Results After maternal symptomatic treatment,both groups did not develop puerperal disease;the observation group’s operative time,intraoperative blood loss,hysterectomy rate,length of stay were all significantly lower than those in the control group(P<0.05).Conclusion Clinically,patients undergoing cesarean section with placenta previa are treated with uterine artery ligation and anterior and posterior wall perforation of the uterus.The latter has simple operation,rapid hemostasis,and can retain the patient’s uterus,which has significant clinical value.It is worth promoting.