背带式缝合预防剖宫产产后出血的临床应用  

Clinical application of uterus-strap suture to preventing postpartum hemorrhage after cesarean section

作　　者：卢庆[1] 

机构地区：[1]广西医科大学第三附属医院妇产科,广西南宁530031

出　　处：《华夏医学》2013年第3期460-462,共3页Acta Medicinae Sinica

摘　　要：目的:观察背带式缝合术用于预防巨大儿、双胎妊娠剖宫产术后出血的疗效及安全性。方法:将巨大儿、双胎妊娠剖宫产行预防性子宫背带式缝合术的产妇22例作为研究组,另选择同期住院巨大儿、双胎妊娠行剖宫产的产妇25例,未行背带式缝合术而使用传统方法治疗,作为对照组。比较两组术后2h阴道出血量、产后出血发生率的情况。结果:研究组术后出血量明显少于对照组,产后出血发生率低于对照组,差异有统计学意义(P<0.05)。结论:背带式缝合术用于预防巨大儿、双胎妊娠剖宫产产后出血有效,操作简单,值得临床推广。Objective： To observe the safety and efficacy of the application of uterus-strap suture to preventing postpartum hemorrhage after cesarean sections of macrosomia and. twin pregnancies. Methods： 22 cases of macrosomia and twin pregnancy applied uterus-strap suture techniques in cesarean sections were served as the study group, while another 25 cases of twin pregnancy and macrosomia applied tradition tech- nique in cesarean sections in the same period were selected as the control group. The vaginal blood loss after two hours and the incidence of postpartum hemorrhage between the two groups were cornpared. Results： The postoperative blood loss in the study group is obviously less than that of the control group, and the postpartum hemorrhage rate in the study group is lower than that in the control group, which were of statistical difference （P〈0.05）. Conclusion： The uterus-strap suture is very effective to prevent postpartum hemorrhage of macrosomia and twin pregnancy after cesarean section. The operation is simple and worthy of clinical promotion.

关 键 词：背带式缝合 双胎妊娠 巨大儿 剖宫产 产后出血 

分 类 号：R714.461[医药卫生—妇产科学]