子宫补丁缝合术与宫腔填塞纱条术治疗剖宫产术后子宫收缩乏力性出血患者的效果比较  

Comparison of effects of uterine patch suture and uterine cavity gauze packing in treatment of uterine inertia bleeding after cesarean section

作　　者：刘晓佩 LIU Xiaopei(Department of Obstetrics of Yuzhou Maternal and Child Health Hospital,Xuchang 461670 Henan,China)

机构地区：[1]禹州市妇幼保健院产科,河南许昌461670

出　　处：《中国民康医学》2022年第16期145-147,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较子宫补丁缝合术与宫腔填塞纱条术治疗剖宫产术后子宫收缩乏力性出血患者的效果。方法:选取2019年1月至2020年5月该院收治的86例剖宫产术后子宫收缩乏力性出血患者进行前瞻性研究,按照随机数字表法分为观察组与对照组各43例。对照组采用宫腔填塞纱条术治疗,观察组采用子宫补丁缝合术治疗,比较两组临床疗效、止血时间、输血量、输血率和凝血功能指标[纤维蛋白原(FIB)、凝血酶原时间(PT)、凝血酶时间(TT)、活化部分凝血活酶时间(APTT)]水平。结果:观察组治疗总有效率为100.00%,明显高于对照组的83.72%,差异有统计学意义(P<0.05);观察组止血时间短于对照组,输血量和输血率低于对照组,差异有统计学意义(P<0.05);术后,观察组PT、TT、APTT水平均低于对照组,FIB水平高于对照组,差异有统计学意义(P<0.05)。结论:子宫补丁缝合术治疗剖宫产术后子宫收缩乏力性出血患者可提高治疗总有效率,缩短止血时间,降低输血量和输血率,以及改善凝血功能指标水平,效果优于宫腔填塞纱条术治疗。Objective:To compare effects of uterine patch suture and uterine cavity gauze packing in treatment of uterine inertia bleeding after cesarean section.Methods:A prospective study was conducted on 86 patients with uterine inertia bleeding after cesarean section treated in this hospital from January 2019 to May 2020.They were divided into observation group and control group according to the random number table method,43 cases in each group.The control group was treated with uterine cavity gauze packing,while the observation group was treated with uterine patch suture.The clinical efficacy,the hemostasis time,the blood transfusion volume,the blood transfusion rate,and the coagulation function index levels[fibrinogen(FIB),prothrombin time(PT),thrombin time(TT),activated partial thromboplastin time(APTT)]were compared between the two groups.Results:The total effective rate of the observation group was 100.00%,which was significantly higher than the control group of 83.72%,and the difference was statistically significant(P<0.05).The hemostasis time in the observation group was shorter than that in the control group,the blood transfusion volume and the blood transfusion rate were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,after the surgery,the levels of PT,TT,and APTT in the observation group were lower than those in the control group,the level of FIB was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusions:Uterine patch suture in the treatment of the patients with uterine inertia bleeding after cesarean section can improve the total effective rate of treatment,shorten the hemostasis time,reduce the blood transfusion volume and the blood transfusion rate,and improve the levels of coagulation function indexes.Moreover,it is superior to uterine cavity gauze packing.

关 键 词：子宫补丁缝合术 宫腔填塞纱条术 剖宫产 子宫收缩乏力 产后出血 止血 

分 类 号：R714.461[医药卫生—妇产科学]