改良式子宫下段缩窄缝合术治疗完全性前置胎盘对预后效果的影响观察  

Observation on the effect of modified lower uterine constriction suture on the prognosis of complete placenta previa

作　　者：马一分 Ma Yifen(Department of Obstetrics,Kuqa People's Hospital,Aksu 842000,China)

机构地区：[1]库车市人民医院产科,新疆阿克苏842000

出　　处：《实用妇科内分泌电子杂志》2023年第25期20-22,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的观察完全性前置胎盘采用改良式子宫下段缩窄缝合术治疗对患者预后效果的影响。方法选取110例完全性前置胎盘患者,根据随机数字表法分组,每组55例。对照组予以子宫下段螺旋式缝合术治疗,研究组予以改良式子宫下段缩窄缝合术治疗。比较两组预后效果。结果研究组手术时间短于对照组,且术中出血量、产后24h出血量明显少于对照组,差异有统计学意义(P<0.05)。研究组止血有效率96.36%高于对照组的81.82%,差异有统计学意义(P<0.05),两组子宫切除率比较,差异无统计学意义(P>0.05)。与对照组比较,研究组产后恶露持续、住院及月经复潮时间均更短(P<0.05)。结论完全性前置胎盘予以改良式子宫下段缩窄缝合术治疗创伤更轻,止血效果良好,预后效果更佳,值得临床推广。Objective To observe the effect of modified lower uterine constriction suture on the prognosis of complete placenta previa.Methods 110 patients with complete placenta previa were selected and divided into 55 cases in each group according to random number table method.The control group was treated with lower uterine segment spiral suture,and the study group was treated with modified lower uterine constriction suture.The prognostic effect of the two groups was compared.Results The operation time of the study group was shorter than that of the control group,and the amount of blood loss during operation and 24 h postpartum was significantly less than that of the control group,with statistical significance(P<0.05).The effective rate of hemostasis in the study group was 96.36%higher than that in the control group(81.82%),the difference was statistically significant(P<0.05),and the hysterectomy rate was not statistically significant between the two groups(P>0.05).Compared with the control group,the duration of postpartum lochia,hospitalization and menstruation were shorter in the study group(P<0.05).Conclusion Modifed lower uterine constriction suture for complete placenta previa is less traumatic,has good hemostatic effect and better prognosis effect,and is worthy of clinical promotion.

关 键 词：完全性前置胎盘 改良式子宫下段缩窄缝合术 预后效果 

分 类 号：R714.2[医药卫生—妇产科学]