摘要【目的】探讨背带式子宫缝合术预防剖宫产产后出血的有效性和安全性。【方法】选择2013年1至2014年12月本院诊治的剖宫产患者80例,按照随机数表法分为观察组和对照组,每组40例。对照组给予填塞纱布法止血,观察组采用背带式子宫缝合术止血,比较两组患者的围术期情况、临床疗效及术后并发症发生率。【结果】观察组手术时间、术中出血量、术后24 h阴道出血量及住院时间均低于对照组( P <0.05);观察组总有效率为97.50%,显著高于对照组的85.55%( P <0.05);观察组术后并发症发生率为5.00%,显著低于对照组的22.50%( P <0.05)。【结论】背带式子宫缝合术治疗剖宫产产后出血效果显著,并能缩短住院时间,降低术后并发症的发生率,值得临床推广应用。
Abstract：【Objective】To investigate the effectiveness and safety of the uterine parceled suture in the treatment of postpartum hemorrhage with cesarean section. 【Methods】A total of 80 cases of postpartum hemorrhage with caesarean section in our hospital from January 2013 to December 2014 were enrolled as the research subjects. According to the random number table method, patients were randomly divided into the observation group and the control group with 40 cases in each group.The control group was given with stuffing gauze to stop bleeding, while the observation group was treated with uterine parceled suture to stop bleeding. The situation of perioperative period, clinical efficacy and postoperative complications were compared between the two groups. 【Results】The operation time, intraoperative bleeding volume, the amount of 24h postoperative vaginal bleeding, and hospitalization time in the observation group were lower than those in the control group ( P < 0.05).The total effective rate in the observation group was 97.50%, which was significantly higher than in the control group 85.55% ( P < 0.05);The postoperative complication rate in the observation group was 5.00%, which was significantly lower than 22.50% in the control group ( P < 0.05). 【Conclusion】Uterine parceled suture in the treatment of cesarean section postpartum hemorrhage is effective.It can shorten the hospitalization time, reduce the incidence of postoperative complications.It is worthy of clinical application.
2018, Vol. 35 
