宫腔纱条填塞术对术中子宫收缩乏力性出血的止血评价  

The effect of intrauterine packing with gauze for hemostasis of uterine atony during operation

作　　者：宋锐[1] 戴国亮[1] 徐少敏[1] 

机构地区：[1]海宁市妇幼保健院产科,浙江省海宁314400

出　　处：《中国基层医药》2014年第9期1313-1314,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：探讨宫腔纱条填塞术在处理剖宫产术中子宫收缩乏力性出血的止血效果。方法选择剖宫产术中因子宫收缩乏力性出血经保守治疗无效的患者72例，采用无菌纱条紧密填塞宫腔止血（填塞组）。另选同期因子宫收缩乏力性出血经保守治疗无效的患者43例，行B-Lynch缝合法止血（缝合组）。比较两组出血量、手术时间、即刻止血率。结果填塞组手术时间（68±4）min，出血量（1070±42）mL，即刻止血率95％。缝合组手术时间（73±5）min，出血量（1245±56）mL，即刻止血率82％。两组即刻止血率差异有统计学意义（χ2＝4．02，P＜0．05），手术时间差异无统计学意义（t＝0．73，P＞0．05）。两组出血量差异无统计学意义（P＞0．05）。结论宫腔纱条填塞术在子宫收缩乏力性出血患者的治疗中，具有操作简单迅速，止血效果确切，术后取出体内无异物。Objective To investigate hemostatic effect of uterine tamponade in dealing with postpartum hem -orrhage due to uterine inertia during caesarean section .Methods 72 patients treated with conservative treatment due to bleeding uterine contraction weakness during cesarean section were chosen ,who were dealed with sterile gauze close packing of uterine bleeding （ uterine packing group ） .43 patients underwent conservative therapy of uterine contraction weakness resulted in postpartum hemorrhage were selected to carry out B -Lynch suture hemostasis （ B-Lynch suture group）.Bleeding volume,operation time,bleeding efficiency of two groups were calculated .Results The uterine packing group had shorter operation time ,less bleeding,immediate hemostasis rate.The B-Lynch suture group had a tad longer operation time , bleeding more , immediate hemostasis rate low , low efficiency .Immediate hemostasis rate （95%VS 82%）between two groups had statistically significant （χ2 =4.02,P〈0.05）,and no significant difference in the operation time（t=0.73,P〉0.05）.Conclusion Uterine packing for postpartum hemorrhage due to uterine inertia during caesarean section has simple operation ,rapid,hemostatic effect,postoperative body without foreign body removal.

关 键 词：止血 手术 产后出血 

分 类 号：R719.8[医药卫生—妇产科学]