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·腹部疾病·

宫颈提拉式缝合在前置胎盘剖宫产术宫颈管顽固性出血的应用 观察

作者:李春霞

所属单位:河南省新乡市妇幼保健院产科 (河南 新乡 453000)

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摘要

目的 探究宫颈提拉式缝合在前置胎盘剖宫产术宫颈管出血中应用效果。方法 选取我院收治的64例前置胎盘剖宫术 中出现宫颈管顽固性出血患者,依据止血方法不同分组,各32例。对照组应用宫颈间断缝合,研究组应用宫颈提拉 式缝合。观察统计两组患者手术、止血时间、术中出血量、止血成功率。结果 与对照组相比,研究组手术、止血 时间、术中出血量明显较少,止血成功率明显较高,差异有统计学意义(P<0.05)。结论 宫颈提拉式缝合应用于前 置胎盘剖宫产术宫颈管顽固性出血治疗中,可有效减少术中出血量、手术、止血时间,提高止血成功率,止血效果 较为显著。

Objective To explore the Cervical Hanging Maneuver application in placenta previa cesarean section uterine cervix. Methods 64 cases of intractable bleeding occurred in the cervical canal in our hospital were selected,grouping according to different hemostasis methods,each of 32 cases.The control group used cervical suture, the study group used Cervical Hanging Maneuver.Statistics two groups of patients with surgery, bleeding time, intraoperative blood loss and the success rate of hemostasis. Results Compared with the control group, the study group operation, hemostasis time and intraoperative blood loss were significantly less, the success rate of hemostasis was significantly higher,the difference was statistically significant (P<0.05). Conclusion Application of Cervical Hanging Maneuver in placenta previa cesarean section in the treatment of intractable hemorrhage of cervical canal,can effectively reduce the amount of bleeding, surgery, bleeding time, improve the success rate of hemostasis, hemostatic effect is more significant.

【关键词】宫颈提拉式缝合;前置胎盘宫产术;颈管顽固性出血

【中图分类号】R713.4

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2016.05.016

前言

剖宫产手术中,前置胎盘产妇由于宫颈内口被胎 盘组织彻底覆盖,胎儿娩出后,易出现宫颈管顽固 性出血[1]。宫颈管顽固性出血为临床常见子宫切除原 因,若同时伴有胎盘植入,会进一步增大止血难度, 危及产妇生命健康[2-3]。因此,及时正确止血对宫颈 管顽固性出血患者尤为重要。以往临床治疗中常用 止血手段无法达到理想止血效果[4]。近年来,大量研 究[5-7]指出,宫颈提拉式缝合应用于前置胎盘剖宫产 术宫颈管顽固性出血治疗中,止血效果颇佳。本研究 分析宫颈提拉式缝合在前置胎盘剖宫产术宫颈管出血 中应用效果。结果如下。