子宫下段螺旋式缝合术在凶险性前置胎盘治疗中的应用效果分析  

Application Effect Analysis of Spiral Suture of Lower Uterine Segment in Treatment of Pernicious Placenta Previa

作　　者：金永莉 Jin Yongli(Xinyi People's Hospital,Xinyi 221400,Jiangsu Province,China)

机构地区：[1]新沂市人民医院,江苏新沂221400

出　　处：《中国社区医师》2024年第4期67-69,共3页Chinese Community Doctors

摘　　要：目的:分析子宫下段螺旋式缝合术在凶险性前置胎盘治疗中的应用效果。方法:选取2018年2月—2022年6月新沂市人民医院收治的凶险性前置胎盘产妇62例作为研究对象,依据随机数字表法分为两组,各31例。两组产妇均实施剖宫产,对照组采取B-Lynch缝合术联合宫腔纱条填塞术,试验组采取子宫下段螺旋式缝合术。比较两组手术指标、康复时间、不良事件发生情况。结果:试验组手术时间短于对照组,术中出血量及术后24 h出血量少于对照组,术后血红蛋白水平高于对照组,差异有统计学意义(P<0.001)。试验组住院时间短于对照组,恶露消失及月经复潮时间早于对照组,差异有统计学意义(P<0.001)。试验组术中输血率、子宫动脉栓塞率及子宫切除率低于对照组,差异有统计学意义(P<0.05)。结论:子宫下段螺旋式缝合术在凶险性前置胎盘治疗中的应用效果较好,可缩短产妇手术及住院时间,减少产妇出血量以及不良事件发生风险,促进恶露消失、月经复潮。Objective:To analyze the application effect of spiral suture of lower uterine segment in treatment of pernicious placenta previa.Methods:A total of 62 pregnant women with pernicious placenta previa admitted to Xinyi People's Hospital from February 2018 to June 2022 were selected as the study subjects.They were divided into two groups according to random number table method,with 31 cases in each group.The women in both groups underwent cesarean section.The control group underwent B-Lynch suture combined with uterine gauze tamponage,and the experimental group underwent spiral suture of lower uterine segment.The operation indicators,rehabilitation time and occurrence of adverse events of the two groups were compared.Results:The operation time in the experimental group was shorter than that in the control group,the amount of blood loss during operation and 24 h after operation in the experimental group was less than that in the control group,the postoperative hemoglobin level in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.001).The length of hospital stay in the experimental group was shorter than that in the control group,and the time of lochia disappearing and menses returning in the experimental group was earlier than that in the control group,the difference was statistically significant(P<0.001).The intraoperative blood transfusion rate,uterine artery embolization rate and hysterectomy rate in the experimental groups were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The spiral suture of lower uterine segment in treatment of pernicious placenta previa has good application effect,which can shorten the operation time and length of hospital stay,reduce the amount of bleeding and the risk of adverse events,promote the disappearance of lochia and the return of menses.

关 键 词：子宫下段螺旋式缝合术 B-LYNCH缝合术 凶险性前置胎盘 安全性 

分 类 号：R714.2[医药卫生—妇产科学]