本刊首页 > 期刊目次 > 凶险性前置胎盘行剖宫产术中大出血后实施双侧子宫动脉上行支结扎的临床效果研究

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凶险性前置胎盘行剖宫产术中大出血后实施双侧子宫动脉上行支结扎的临床效果研究

  • 高剑华

* 通信作者: 高剑华, 单位:海南省东方市人民医院 572600

摘要


目的:探讨对凶险性前置胎盘行剖宫产术中大出血后实施双侧子宫动脉上行支结扎的临床效果。

方法:选取在我院治疗的凶险性前置胎盘行剖宫产在术中出现大出血患者60例,随机将患者分为观察组和对照组,各30例。观察组患者应用双侧子宫动脉上行支结扎术进行止血,对照组患者应用“8”字缝合,宫腔填塞进行止血,对比两组患者手术时间、术中出血量、术后24h内出血量等,以探讨双侧子宫动脉上行支结扎术在中央性前置胎盘剖宫产术中大出血止血的临床治疗效果。

结果:观察组手术时间和术中出血量、术后24小时出血量明显低于对照组,术后修正Hb值(g/L)明显高于对照组,差异有统计学意义(P<0.05)。

结论:凶险性前置胎盘行剖宫产术中大出血后实施双侧子宫动脉上行支结扎治疗效果显著,值得在临床上推广应用。

关键词:凶险性前置胎盘;剖宫产;双侧子宫动脉上行支结扎;宫腔填塞

ABSTRACT


Objective: To explore the clinical effect of intraoperative hemorrhage of cesarean section performed in bilateral ascending branches of uterine artery ligation for patients with dangerous placenta praevia.

Methods: 60 patients with dangerous placenta praevia and intraoperative hemorrhage of cesarean section treated in our hospital were randomly divided into 2 groups: the observation group and the control group, (each has 30 cases). The obversation group was performed in bilateral ascending branches of uterine artery ligation to get hemostasia, while the control group used 8-character-pattern and uterine packing to stop blooding. The operation time, the amount of intraoperative hemorrhage and the amount of it in postoperative 24 hours of the 2 groups was compared to access the clinical effect of bilateral ascending branches of uterine artery ligation for intraoperative hemorrhage of cesarean of patients with dangerous central placenta praevia.

Results: The operation time, the amount of intraoperative hemorrhage and the amount of it in postoperative 24 hours of the observation group was markedly less than the control group, and the postoperative corrected Hb value(g/L)was evidently higher than the control group. The differences had statistical significance(P<0.05).

Conclusion  : the treatment of bilateral ascending branches of uterine artery ligation has great therapeutic effect for intraoperative hemorrhage of cesarean section of patients with dangerous placenta praevia.

Key words: dangerous placenta praevia; cesarean section; bilateral ascending branches of uterine artery ligation; uterine packing

引用本文 / How to Cite This Article

高剑华.凶险性前置胎盘行剖宫产术中大出血后实施双侧子宫动脉上行支结扎的临床效果研究[J]. 国际精神病学杂志, , (): -

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