改良式宫颈环扎术治疗前置胎盘子宫下段出血的临床研究

发布时间：2018-11-16 13:51

【摘要】：目的探讨改良式宫颈环扎术治疗前置胎盘子宫下段出血的治疗效果。方法选取2013年7月1日至2014年6月30日20例前置胎盘剖宫产术中子宫下段出血患者,采用改良式宫颈环扎术进行治疗(观察组),并与2012年7月1日至2013年6月30日20例未行改良式宫颈环扎术的前置胎盘剖宫产术中子宫下段出血患者(对照组)进行比较,比较术中出血量、输红细胞悬液量、手术时间。结果观察组与对照组术中出血量分别为(517.50±388.41)mL、(842.50±533.68)mL,输红细胞悬液量(10.90±0.78)U、(2.60±1.35)U,手术时间(73.15±14.60)min、(95.10±10.95)min,两组比较差异均有统计学意义(P0.05),且两组均无明显并发症发生。结论针对前置胎盘子宫下段出血的患者,实施改良式宫颈环扎术进行止血,能有效降低出血量,值得进一步研究。
[Abstract]:Objective to investigate the effect of modified cervix ligation in the treatment of placenta previa bleeding. Methods from July 1, 2013 to June 30, 2014, 20 patients with lower uterine bleeding during caesarean section of placenta previa were treated with modified cervix ligation (observation group). From July 1, 2012 to June 30, 2013, 20 patients with lower uterine bleeding during caesarean section of placenta previa without modified cervix ligation (control group) were compared in terms of blood loss, erythrocyte suspension and operation time. Results the amount of intraoperative bleeding in the observation group and the control group was (517.50 卤388.41) mL, (842.50 卤533.68) mL, and (10.90 卤0.78) U, (2.60 卤1.35) U, respectively, and the operative time was (73.15 卤14.60) min,. (95.10 卤10.95) min, had significant difference between the two groups (P0.05), and there were no obvious complications in both groups. Conclusion for the patients with lower uterine bleeding of placenta previa, the application of modified cervix ligation to hemostasis can effectively reduce the amount of bleeding, which is worthy of further study.
【作者单位】：重庆市急救医疗中心妇产科;
【分类号】：R719.8

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