子宫下段间断缝合防治完全性前置胎盘产后出血临床探究.docVIP

子宫下段间断缝合防治完全性前置胎盘产后出血临床探究[摘要] 目的：探讨应用子宫下段间断缝合法防治完全性前置胎盘产后出血的临床效果。方法：选择2007年7月～2011年2月我科收治的完全性前置胎盘41例，随机分为两组。观察组20例，在剖宫产术中胎盘剥离后采用子宫下段间断缝合法防治胎盘剥离面出血，必要时行子宫动脉下行支结扎。对照组21例，在剖宫产术中采用常规方法止血。观察两组止血效果。结果：观察组在平均出血量[（675.00±212.07）ml vs（1 547.63±761.32）ml]（P0.05）。结论：该缝合方法是防治完全性前置胎盘产后出血的有效方法，它具有操作简便、易于掌握、止血迅速、效果可靠、能降低输血率、保留子宫等优点，值得推广应用。 [关键词] 前置胎盘；剖宫产术；产后出血 [中图分类号] R714.46[文献标识码]Ａ [文章编号]1673-7210（2011）08（a）-045-03 Clinical study on prevention of postpartum hemorrhage of complete placenta previa with interrupted suture the lower uterine segment TAO Hua The Second Division of Obstetrics, Women and Children Health Care Center of Luoyang City, He′nan Province, Luoyang 471000, China [Abstract] Objective: To evaluate the clinical effects on prevention of the postpartum hemorrhage of complete placenta previa with interrupted suture the lower uterine segment in cesarean section. Methods: 41 patients with complete placenta previa in our department from July 2007 to February 2011 were randomly divided into two groups, 20 cases were chosen as the observation group, they were performed interrupted suture at lower routine segment to control the bleeding of surface of placental separation. It was noted that the descending uterine artery ligation was conducted if necessary between this group. For the control group, 21 patients were performed routine methods during cesarean section to prevent postpartum hemorrhage. The effect was observed. Results: There were significant differences about the average blood loss volume [(675.00±212.07) ml vs (1547.63±761.32) ml] (P0.05). Conclusion: The method of interrupted suture at lower routine segment is a safe, effective technique for preventing the postpartum hemorrhage of complete placenta previa. It has the benefits of the easy operation, rapidly mastering, quick hemostatic, high reliability, low transfusion rate and the preservation of uterus. It’s worthy of promotion. [Key words] Placenta previa; Cesarean section; Postpartum hemo