30例前置胎盘剖宫产术中宫颈管难治性出血渐进式缝合术的观察  

Observation on cervical progressing suture in treating intractable cervical canal hemorrhage during cesarean section in 30 cases of placenta previa

作　　者：蒲才秀[1] 刘明博[1] 李秀泉[1] 周玮[1] 

机构地区：[1]重庆市妇幼保健院产科,400013

出　　处：《重庆医学》2017年第22期3083-3084,3087,共3页Chongqing medicine

基　　金：重庆市计生委医学科研指导项目(2015ZBXM028)

摘　　要：目的探讨宫颈渐进式缝合术在前置胎盘剖宫产术中宫颈管难治性出血时的止血效果。方法选取中央性前置胎盘术中发生宫颈管难治性出血产妇60例,分为宫颈渐进式缝合组(观察组,30例)和宫腔纱条填塞组(对照组,30例),比较两组术式术中操作时间,术中出血量、术后24h出血量、子宫切除情况及产褥感染发生率、产后恢复等情况。结果观察组与对照组术中两种术式操作时间分别为(3.15±1.60)、(6.10±2.35)min,术中出血量分别为(422.00±186.98)、(642.25±344.42)mL,术后24h出血量分别为(583.23±198.33)、(825.23±373.50)mL,两组比较差异均有统计学意义(P<0.05);两组均无子宫切除,均无明显并发症发生。结论前置胎盘剖宫产术中宫颈管难治性出血采用宫颈渐进式缝合止血操作简单、效果好。Objective To explore the haemostatic efficacy of cervical progressing suture in treating intractable cervical canal hemorrhage during cesarean section（CS） in placenta previa. Methods Sixty patients suffering from intractable cervical canal hemorrhage during CS due to central placenta previa were chosen and divided into the cervical progressing suture（observation roup, 30 cases） and the uterine cavity ribbon gauze packing group（control group, 30 cases）. The intraoperative operating time,intraoperative bleeding amount,postoperative 24 h hemorrhage amount, hysterectomy and puerperal infection were compared between the two groups. Results The intraoperative operation time in the observation group and control group were （3.15±1.60）min and （6.10± 2.35）min respectively,the intraoperative bleeding amount in the observation group and control group were （422.00± 186.98）mL and （642.25±344.42）mL respectively,postoperative 24 h bleeding amounts were （583.23± 198.33）mL and （825.23±373.50） mL respectively, the differences between the two groups were statistically significant（P〈0.05）. No hysterectomy and no complica- tions ocurred in each group. Conclusion Adopting the cervical progressing suture in treating intractable cervical canal hemorrhage during cesarean section（CS） due to placenta previa is simple to operate and has good effect.

关 键 词：前置胎盘 剖宫产术 宫颈渐进式缝合 宫颈难治性出血 

分 类 号：R719.8[医药卫生—妇产科学]