改良式宫颈环扎术治疗前置胎盘子宫下段出血的临床研究  

The clinical study of modified cervical cerclage in reducing lower uterine segment bleeding in placenta previa

作　　者：吴晓娟[1] 严园[1] 周晓[1] 

机构地区：[1]重庆市急救医疗中心妇产科,400014

出　　处：《重庆医学》2015年第17期2374-2375,2378,共3页Chongqing medicine

摘　　要：目的探讨改良式宫颈环扎术治疗前置胎盘子宫下段出血的治疗效果。方法选取2013年7月1日至2014年6月30日20例前置胎盘剖宫产术中子宫下段出血患者,采用改良式宫颈环扎术进行治疗(观察组),并与2012年7月1日至2013年6月30日20例未行改良式宫颈环扎术的前置胎盘剖宫产术中子宫下段出血患者(对照组)进行比较,比较术中出血量、输红细胞悬液量、手术时间。结果观察组与对照组术中出血量分别为(517.50±388.41)mL、(842.50±533.68)mL,输红细胞悬液量(10.90±0.78)U、(2.60±1.35)U,手术时间(73.15±14.60)min、(95.10±10.95)min,两组比较差异均有统计学意义(P<0.05),且两组均无明显并发症发生。结论针对前置胎盘子宫下段出血的患者,实施改良式宫颈环扎术进行止血,能有效降低出血量,值得进一步研究。Objective To explore the method and effect of modified cervical cerclage in lower uterine segment bleeding of placenta previa.Methods Twenty patients suffered from hemorrhage of lower uterine segment in Placenta Previa from July 2013 to June 2014 were enrolled in the new operation.Another 20 cases suffered from hemorrhage of lower uterine segment in Placenta Previa from July 2012 to June 2013 and did not receive modified cervical cerclage,were treated as control group.Results The amount of blood loss,red cell suspension transfusion and operation time were（517.50±388.41）mL,（0.90±0.78）U and（73.15±14.60）min respectively,while those in the control group were（842.50±533.68）mL,（2.60±1.35）U and（95.10±10.95）min,respectively.The differences between the two groups were statistically significant（P〈0.05）.Conclusion Modified cervical cerclage was effective in control hemorrhage of lower uterine segment in placenta previa,and it was worth further study.

关 键 词：前置胎盘 宫颈出血 环扎术 宫颈 

分 类 号：R719.8[医药卫生—妇产科学]