子宫下段多方位螺旋式缝合成形术在前置胎盘患者中的应用效果  

Application effect of multi-directional spiral suture plasty of lower uterine segment in patients with placenta previa

作　　者：董湘梅 曾琴燕 苏明兰 DONG Xiangmei;ZENG Qinyan;SU Minglan(Department of Obstetrics,Kanghua Hospital of Dongguan City in Guangdong Province,Dongguan 523900,China)

机构地区：[1]广东省东莞康华医院产科,广东东莞523900

出　　处：《中国当代医药》2022年第32期127-129,共3页China Modern Medicine

摘　　要：目的探讨子宫下段多方位螺旋式缝合成形术在前置胎盘患者中的应用效果。方法选取2018年4月至2021年3月东莞康华医院收治的80例前置胎盘产妇为研究对象,采用随机数字表法分为A组与B组,各40例。A组行B-Lynch缝合法联合宫腔纱条填塞,B组行子宫下段多方位螺旋式缝合成形术。比较两组的围手术期指标、止血效果及并发症发生率。结果B组的术中出血量为(1254.76±120.38)ml,产后24 h出血量为(1420.03±124.08)ml,均少于A组的(1758.46±136.29)ml、(2289.64±346.27)ml,差异有统计学意义(P<0.05);B组的手术时间为(83.05±3.67)min,恶露持续时间为(43.10±5.14)d,住院时间为(5.06±0.87)d,产后月经复潮时间为(55.42±9.87)d,均短于A组的(109.65±9.82)min、(59.82±6.39)d、(7.69±1.25)d、(72.19±10.31)d,差异有统计学意义(P<0.05);B组的输血率为25.00%,低于A组的47.50%,差异有统计学意义(P<0.05);B组的并发症总发生率为5.00%,低于A组的22.50%,差异有统计学意义(P<0.05)。结论于前置胎盘患者中应用子宫下段多方位螺旋式缝合成形术可获得较好的止血效果,术后并发症较少,安全性高,利于促进产妇术后恢复,值得推广应用。Objective To explore the application effect of multi-directional spiral suture plasty of lower uterine segment in patients with placenta previa.Methods A total of 80 pregnant women with placenta previa treated in Kanghua Hospital of Dongguan City from April 2018 to March 2021 were selected as research objects and randomly divided into group A and group B according to random number table method,with 40 cases in each group.Group A was given B-Lynch suture combined with intrauterine gauze packing,and group B was given multi-directional spiral suture of lower uterine segment.The perioperative indexes,hemostatic effect and the incidence of complication were compared between the two groups.Results The intraoperative bleeding volume([1254.76±120.38]ml),postpartum 24 h bleeding volume([1420.03±124.08]ml)in group B were less than those in group A([1758.46±136.29]ml,[2289.64±346.27]ml),the differences were statistically significant(P<0.05).The operation time([83.05±3.67]min),lochia duration([43.10±5.14]d),hospitalization time([5.06±0.87]d),postpartum menstrual rehydration time([55.42±9.87]d)in group B were shorter than those in group A([109.65±9.82]min),([59.82±6.39]d),([7.69±1.25]d),([72.19±10.31]d),the differences were statistically significant(P<0.05).The blood transfusion rate in group A was 25.00%,which was significantly lower than 47.50%in group B,the difference was statistically significant(P<0.05).The total incidence of complications in group B was 5.00%,which was lower than 22.50%in group A,the differences were statistically significant(P<0.05).Conclusion In patients with placenta previa,the application of multi-directional spiral suture of lower uterine segment can obtain better hemostatic effect,less postoperative complications and high safety.It is conducive to promote the postoperative recovery of pregnant women,which is worthy of popularization and application.

关 键 词：前置胎盘 子宫下段多方位螺旋式缝合成形术 B-LYNCH缝合法 宫腔纱条填塞 止血效果 

分 类 号：R714.4[医药卫生—妇产科学]