双侧子宫动脉上行支结扎术在防治前置胎盘剖宫产产后出血中的应用  

Application of Bilateral Upper Uterine Artery Branch Ligation in Prevention of Postpartum Hemorrhage in Cesarean Delivery with Placenta Previa

作　　者：向红[1] Xiang Hong(Qiandongnan Miao and Dong Autonomous Prefecture Jianhe County People's Hospital,Qiandongnan Miao and Dong Autonomous Prefecture 556400,Guizhou Province,China)

机构地区：[1]黔东南苗族侗族自治州剑河县人民医院,贵州黔东南苗族侗族自治州556400

出　　处：《中外医药研究》2024年第7期36-38,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探讨双侧子宫动脉上行支结扎术在防治前置胎盘剖宫产产后出血(PPH)中的临床效果。方法:选取2018年3月—2023年3月黔东南苗族侗族自治州剑河县人民医院拟行剖宫产治疗的前置胎盘产妇孕60例为研究对象,按随机数字表法分为对照组及研究组,各30例。对照组采用宫腔填塞止血,研究组采用双侧子宫动脉上行支结扎术止血。比较两组围术期相关指标(PPH发生率、术中及术后24 h出血量、手术时间、住院时间)及术后并发症。结果:研究组PPH发生率低于对照组,差异有统计学意义(P=0.012);研究组术中出血量、术后24 h出血量少于对照组,手术时间及住院时间短于对照组,差异有统计学意义(P<0.05);研究组术后并发症发生率低于对照组,差异有统计学意义(P<0.001)。结论:前置胎盘剖宫产术中采用双侧子宫动脉上行支结扎术能够减少术中及术后出血量,降低PPH发生率、术后并发症发生率,缩短手术时间及住院时间。Objective:To explore the clinical effect of bilateral upper uterine artery branch ligation in the prevention and treatment of postpartum hemorrhage(PPH)in cesarean delivery with placenta previa.Methods:Sixty cases of maternal pregnancy with placenta previa to be treated by cesarean delivery in Qiandongnan Miao and Dong Autonomous Prefecture Jianhe County People's Hospital from March 2018 to March 2023 were selected for the study,and were divided into a control group and a study group of thirty cases each according to the method of randomized numerical table.The control group used uterine cavity tamponade to stop bleeding,and the study group used bilateral uterine artery superior branch ligation to stop bleeding.The perioperative related indexes(PPH incidence,intraoperative and 24 h postoperative bleeding,operation time,hospitalization time)and postoperative complications were compared between the two groups.Results:The incidence of PPH in the study group was lower than that in the control group,and the difference was statistically significant(P=0.012);the intraoperative and 24 h postoperative bleeding in the study group was less than that in the control group,and the operation time and hospitalization time were shorter than that in the control group,and the difference was statistically significant(P<0.05);the incidence of postoperative complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.001).Conclusion:The use of bilateral upper uterine artery branch ligation in cesarean delivery of placenta previa can reduce intraoperative and postoperative hemorrhage,decrease the incidence of PPH,postoperative complications,and shorten the operation time and hospital stay.

关 键 词：前置胎盘 双侧子宫动脉上行支结扎术 出血量 产后出血 剖宫产 

分 类 号：R714.461[医药卫生—妇产科学]