子宫动脉上行支结扎联合子宫下段排式缝合在剖宫产中的应用  

Application of ligation of ascending branch of uterine artery combined with row suture of lower uterus in cesarean section

作　　者：易娜 李英 钟华兰[1] YI Na;LI Ying;ZHONG Hua-lan(Department of Obstetrics and Gynecology,Xingguo People′s Hospital,Jiangxi Province,Xingguo342400,China)

机构地区：[1]江西省兴国县人民医院妇产科,江西兴国342400

出　　处：《中国当代医药》2020年第26期101-104,共4页China Modern Medicine

基　　金：江西省赣州市指导性科技计划项目(GZ2019ZSF 444)。

摘　　要：目的探讨子宫动脉上行支结扎联合子宫下段排式缝合在剖宫产中的应用效果。方法选取2019年5月~2020年1月在我院接受剖宫产治疗的56例产妇作为研究对象,采用随机数字表法将其分为对照组(n=28)与观察组(n=28),对照组单纯给予常规剖宫产术中止血操作,观察组采用子宫动脉上行支结扎联合子宫下段排式缝合技术,比较两组产妇的产后出血情况、手术指标以及并发症发生情况、生活质量。结果观察组术中、术后3 h、术后24 h出血量以及术中输血量少于对照组,差异有统计学意义(P<0.05);观察组手术时间、住院时间、子宫收缩时间短于对照组,差异有统计学意义(P<0.05);观察组躯体功能、情感功能、认知功能、社会功能、总体健康评分高于对照组,差异有统计学意义(P<0.05);两组并发症总发生率比较,差异无统计学意义(P>0.05)。结论在剖宫产术中应用子宫动脉上行支结扎联合子宫下段排式缝合技术,可减少手术出血量与术中输血量,缩短产妇术后恢复时间,提高产妇的生活质量。Objective To investigate the application effect of ligation of ascending branch of uterine artery combined with row suture of lower uterus in cesarean section.Methods A total of 56 parturient who received cesarean section treatment in our hospital from May 2019 to January 2020 were selected as the research objects.They were divided into control group(n=28)and observation group(n=28)by random number table method.The control group was given routine hemostasis during cesarean section,and the observation group used ligation of ascending branch of uterine artery combined with row suture of lower uterus.The postpartum hemorrhage,surgical indicators,complications and quality of life of the two groups were compared.Results The amount of blood loss and intraoperative blood transfusion during operation,3 hours and 24 hours after operation in the observation group were less than those in the control group,the differences were statistically significant(P<0.05).The operation time,hospitalization time and uterine contraction time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The physical function,emotional function,cognitive function,social function and overall health scores of the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion The application of ligation of the ascending branch of the uterine artery combined with row suture of lower uterus technique during cesarean section can reduce surgical bleeding and postoperative blood transfusion,shorten the postoperative recovery time of parturient,and improve the quality of life of the parturient.

关 键 词：剖宫产术 子宫动脉上行支结扎 子宫下段排式缝合 出血量 术中输血量 手术指标 并发症发生情况 

分 类 号：R719.8[医药卫生—妇产科学]