子宫下段纱条填塞术用于前置胎盘剖宫产术中大出血的疗效观察  

Effect observation on packing in lower uterine segment with gauze strip on postpartum hemorrhage in cesarean section for placenta previa

作　　者：赵彩珍[1] 喻欣[1] 彭文盈[1] 夏马丽[1] 陈丹[1] 陈莉莉[1] 

机构地区：[1]武警湖北总队医院产科,湖北武汉430061

出　　处：《临床军医杂志》2013年第9期917-918,共2页Clinical Journal of Medical Officers

摘　　要：目的探讨子宫下段纱条填塞术用于前置胎盘剖宫产术中大出血的疗效。方法将31例前置胎盘剖宫产术中大出血患者随机分为观察组和对照组。观察组采用局部缝合加子宫下段纱条填塞术,对照组仅采用局部缝合法,比较两组的止血疗效。结果观察组术中出血量、术中输血量、手术时间均明显少于对照组,两组比较有统计学差异(P<0.05或P<0.01);而患者术后住院天数,切口甲级愈合率、产褥感染等情况两组比较无统计学差异(P>0.05)。结论子宫下段纱条填塞术用于剖宫产术中以子宫下段出血为主的前置胎盘患者,其止血效果确切,方法简便。Objective To explore the clinical effect of packing in the lower uterine segment with gauze strip on postpartum hemor- rhage in cesarean section for placenta previa. Methods A total of 31 patients with placenta previa that underwent postpartum hemor- rhage in cesarean section were divided into two groups at random, i.e. trial group and control group. The trial group was treated with locally suture and packing in the lower uterine segment with gauze strip, and the control group only with locally suture. Their clini- cal effect of hemostasis was compared between the two groups. Results The amount of blood loss during operation, the amount ot blood transfusion and the time of operation were significantly less in the trial group than in the control group （ P 〈 0.05, P 〈 0.01 ）. There were no statistical differences in postoperative hospitalization time, class-A wound healing rate and puerperal infection be- tween the two groups （ P 〉 0.05 ）. Conclusion Packing in the lower uterine segment with gauze strip in treating postpartum hem- orrhage in cesarean section for placenta previa is easy to operate, and is of reliable effect on the control of hemorrhage.

关 键 词：子宫下段纱条填塞术 前置胎盘 剖宫产术 产后出血 

分 类 号：R719.92[医药卫生—妇产科学]