手术干预控制60例瘢痕子宫再次剖宫产产后出血的疗效观察  

Efficacy of surgeries on controlling postpartum hemorrhage in 60 women with cesarean section uterus scar in subsequent pregnancy

作　　者：蒲才秀[1] 李秀泉[1] 黄婵[1] 周玮[1] 但阳[1] 

机构地区：[1]重庆市妇幼保健院产科,400013

出　　处：《重庆医学》2016年第22期3089-3090,3095,共3页Chongqing medicine

摘　　要：目的探讨手术方式预防瘢痕子宫再次剖宫产产后出血的疗效。方法选取瘢痕子宫再次剖宫产产妇60例(观察组)进行手术干预预防产后出血,与非瘢痕子宫产妇108例(对照组)进行对比,比较两组并发症的发生率及产后出血发生率。结果观察组并发症的发生率和术中出血量明显高于对照组(P<0.05),通过术中手术方式干预处理后,两组产后出血发生率比较差异无统计学意义(P>0.05)。结论手术方式的干预能有效减少瘢痕子宫再次剖宫产产后出血,值得推广。Objective To evaluate the efficiency of surgical procedure in preventing postpartum hemorrhage in patients with cesarean section uterus scar in subsequent pregnancy. Methods A total of 60 women with cesarean section uterus scar in subsequent pregnancy were selected to be the observation group, while 108 cesarean section primipara were selected to be the control group. The incidence of postpartum hemorrhage, bleeding amount during operation and the incidence of complications between the two groups were compared. Results The incidence of complications and bleeding amount during operation in observation group were significantly higher than those in control group（P〈0.05）. After interfered with surgical procedure,the incidence of postpar- tum hemorrhage in observation group was not significantly higher compared with control group（P〉0.05）. Conclusion Postpartum hemorrhage could be decreased with surgical procedure in women with cesarean section uterus scar in subsequent pregnancy, and the interference method in operation was valuable to spread.

关 键 词：产后出血 剖宫产术 再 子宫 瘢痕 手术方式 

分 类 号：R719.8[医药卫生—妇产科学]