宫颈提拉缝合术联合子宫下段环形缝扎术预防凶险性前置胎盘患者产后出血的临床效果  

Clinical effect of cervical lifting suture combined with circular suture and ligation of lower uterine segment in preventing postpartum hemorrhage in patients with pernicious placenta praevia

作　　者：段丽娜 DUAN Lina(Department of Obstetrics and Gynecology,the First People’s Hospital of Zunyi,the Third Affiliated Hospital of Zunyi Medical University,Guizhou Province,Zunyi 563001,China)

机构地区：[1]贵州省遵义市第一人民医院遵义医科大学第三附属医院妇产科,贵州遵义563001

出　　处：《妇儿健康导刊》2024年第15期67-70,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的探讨宫颈提拉缝合术联合子宫下段环形缝扎术预防凶险性前置胎盘患者产后出血的临床效果。方法选取2021年1月至2023年12月在遵义市第一人民医院接受治疗的84例凶险性前置胎盘患者作为研究对象,根据随机数字表法分为两组,每组各42例。胎儿娩出后,给予患者缩宫素及卡前列素氨丁三醇,对照组行子宫下段环形缝扎术,观察组在对照组基础上给予宫颈提拉缝合术,比较两组治疗效果及产后2、6、12、24 h的阴道出血量。结果观察组总有效率高于对照组(P<0.05),观察组产后2、6、12、24 h阴道出血量少于对照组(P<0.05)。结论宫颈提拉缝合术联合子宫下段环形缝扎术预防凶险性前置胎盘患者产后出血的临床效果较好,可以减少产后出血量,值得推广。Objective To investigate the clinical effect of cervical lifting suture combined with circular suture and ligation of lower uterine segment in preventing postpartum hemorrhage in patients with pernicious placenta praevia.Methods A total of 84 patients with pernicious placenta praevia in the First People’s Hospital of Zunyi from January 2021 to December 2023 were selected as the subjects of this study,and they were divided into two groups according to the random number table method,with 42 cases in each group.After delivery of the fetus,the patients were given Oxytocin and Carprost Trobutrin.The control group was given circular suture and ligation of lower uterine segment,and the observation group was given cervical lifting suture on the basis of control group.The therapeutic effect and the amount of postpartum hemorrhage at 2,6,12,and 24 hours were compared between the two groups.Results The total effective rate of observation group was higher than that of control group(P<0.05).The amount of postpartum hemorrhage in the observation group was less than that in the control group at 2,6,12,and 24 hours after delivery(P<0.05).Conclusion Cervical lifting suture combined with circular suture and ligation of lower uterine segment has good clinical effect in preventing postpartum hemorrhage in patients with pernicious placenta previa,which can reduce the amount of postpartum hemorrhage and is worth promoting.

关 键 词：宫颈提拉缝合术 子宫下段环形缝扎 凶险性前置胎盘 产后出血 

分 类 号：R714[医药卫生—妇产科学]