宫颈提拉式缝合治疗前置胎盘剖宫产术宫颈管顽固性出血的临床效果观察.docVIP

宫颈提拉式缝合治疗前置胎盘剖宫产术宫颈管顽固性出血的临床效果观察 周卫东 郭金珠 陕西省榆林市第一医院妇产科 西电集团医院妇产科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 观察临床应用宫颈提拉式缝合治疗前置胎盘剖宫产术宫颈管顽固性出血的临床效果。方法 采用前瞻性研究方法选取2014年6月至2017年5月榆林市第一医院行前置胎盘剖宫产术发生宫颈管顽固性出血患者90例, 随机分为对照组和观察组各40例, 对照组患者给予宫腔填塞术治疗, 观察组应用宫颈提拉式缝合治疗。对比分析两组患者出血原因、出血程度、手术时间、术中出血量、红细胞悬液输入量、血浆输入量、血浆输入量、术后24 h阴道流血量及不良反应发生情况。结果 两组患者发生顽固性出血原因及出血程度组间比较差异无统计学意义 (P0.05) , 两组患者手术时间、术中出血量、红细胞悬液输入量、血浆输入量、血浆输入量及术后24 h阴道流血量组间比较观察组均明显低于对照组 (P0.05) , 两组患者不良反应发生率比较观察组明显低于对照组 (P0.05) 。结论 应用宫颈提拉式缝合治疗前置胎盘剖宫产术宫颈管顽固性出血具有良好止血效果, 安全可靠, 可在临床推广应用。 关键词： 前置胎盘; 剖宫产术; 宫颈管顽固性出血; 宫颈提拉式缝合; 作者简介：郭金珠, E-mail:guojinzhu888@163.com 收稿日期：2017-09-22 基金：陕西省科技攻关计划项目 (编号:2014K11-03-01-05) The clinical effect of cervical hanging maneuver for the treatment of intractable hemorrhage of the cervical in the placenta previa cesarean section patients ZHOU Wei-dong GUO Jin-zhu Department of Obstetrics and Gynecology, The First Hospital in Yulin; Department of Obstetrics and Gynecology, Xian XD Group Hospital; Abstract： Objective To observe the effect of clinical application of c cervical hanging maneuver for the treatment of intractable hemorrhage of the cervical in the placenta previa cesarean section patients. Methods From June 2014 to May 2017, 90 cases of intractable hemorrhage patients who performed placenta previa cesarean section were selected, 40 cases in each group. They were randomly divided into control group and observation group. The control group patients were given the treatment of uterine cavity filling, observation group of cervical hanging maneuver treatment. Hemorrhage reason, the degree of bleeding, operation time, blood loss, red blood cell suspension input, input of plasma, plasma input amount, 24 h vaginal bleeding volume and postoperative adverse reactions occur were observed and analyzed. Results The differences of reason and bleeding rate between groups had no statistical significance ( P 0. 05) . The operation time, intraoperative b