前置胎盘剖宫产术中大出血行子宫下段前后壁贯穿缝合、宫内球囊压迫、子宫动脉上行支结扎联合治疗的效果分析  

Effect of the Combined Treatment of Suture of the Anterior and Posterior Wall of the Lower Uterine Segment,Intrauterine Balloon Compression and Ligation of the Ascending Branch of the Uterine Artery for Massive Hemorrhage in Placenta Previa Cesarean Section

作　　者：霍丽艳[1] HUO Liyan(Jiamusi Maternal and Child Health Hospital Jiamusi,Jiamusi 154000,China)

机构地区：[1]黑龙江省佳木斯市妇幼保健院,黑龙江佳木斯154000

出　　处：《中国医学创新》2020年第31期76-79,共4页Medical Innovation of China

摘　　要：目的:探讨前置胎盘剖宫产术中大出血行子宫下段前后壁贯穿缝合、宫内球囊压迫、子宫动脉上行支结扎联合治疗的效果。方法:选取2017年1月-2019年1月本院收治的前置胎盘剖宫产术中大出血患者60例,按照随机数字表法将其分为观察组和对照组,各30例。对照组应用宫内球囊压迫及子宫动脉上行支结扎治疗。观察组应用子宫下段前后壁贯穿缝合、宫内球囊压迫、子宫动脉上行支结扎联合治疗。比较两组手术相关指标、临床治疗效果、输血情况、满意情况、并发症发生情况及术后生活质量。结果:观察组术中出血量、术后2 h出血量均低于对照组,且手术时间与住院时间均短于对照组(P<0.05)。观察组治疗总有效率高于对照组(P<0.05)。观察组术中输血量少于对照组(P<0.05)。观察组满意评分高于对照组(P<0.05)。两组术后感染与宫腔粘连发生率比较,差异均无统计学意义(P>0.05)。观察组生理机能、生理职能、社会功能与精神健康评分均高于对照组(P<0.05)。结论:前置胎盘剖宫产术中大出血行子宫下段前后壁贯穿缝合、宫内球囊压迫、子宫动脉上行支结扎联合治疗的效果较好,可明显控制患者的出血情况,且患者满意度高,术后生活质量好,值得推广。Objective:To investigate the effect of combined treatment of suture of the anterior and posterior wall of the lower uterine segment,intrauterine balloon compression and ligation of the ascending branch of the uterine artery for massive hemorrhage in placenta previa cesarean section.Method:From January 2017 to January 2019,60 patients with massive hemorrhage in placenta previa cesarean section were selected.They were divided into observation group and control group according to the random number table method,30 cases in each group.The control group was treated with intrauterine balloon compression and ligation of the ascending branch of uterine artery.The observation group was treated with the combination of the suture of the anterior and posterior wall of the lower uterine segment,the compression of the intrauterine balloon and the ligation of the ascending branch of the uterine artery.The operation related indexes,clinical treatment effect,blood transfusion,satisfaction,complications and postoperative quality of life were compared between the two groups.Result:The amount of intraoperative blood loss and 2 h postoperative blood loss in the observation group were lower than those in the control group,and the duration of operation and hospital stay were lower than those in the control group (P<0.05).The total effective rate of the observation group was higher than that of the control group (P<0.05).The amount of blood transfusion in the observation group was lower than that in the control group (P<0.05).Satisfaction score of the observation group was higher than that of the control group (P<0.05).There were no statistically significant differences between the two groups in the incidence of postoperative infection and intrauterine adhesion (P>0.05).The scores of physiological function,physiological function,social function and mental health in the observation group were higher than those in the control group (P<0.05).Conclusion:The combined treatment of suture of the anterior and posterior wall of the lower uterine

关 键 词：前置胎盘 剖宫产术 大出血 球囊压迫 子宫动脉上行支结扎 

分 类 号：R719.8[医药卫生—妇产科学]