摘要
目的探讨子宫下段横向缩窄术减少瘢痕子宫剖宫产术中出血量的效果。方法 80例因瘢痕子宫行二次剖宫产术的孕妇,按照就住院号单双号,将单号作为对照组,双号作为研究组,每组40例。对照组予以子宫肌内注射缩宫素20 U进行止血治疗;研究组在对照组止血治疗基础上实行子宫下段横向缩窄术进行治疗。比较两组术中出血量、术后24 h出血量、恶露持续时间、治疗效果、术中输血率、产后出血率。结果研究组术中出血量(263.4±10.7)ml、术后24 h出血量(462.5±94.3)ml均少于对照组的(378.5±12.2)、(850.6±106.7)ml,恶露持续时间(17.4±6.3)d短于对照组的(23.7±6.2)d,差异均具有统计学意义(P<0.05)。研究组治疗总有效率95.00%高于对照组的80.00%,差异具有统计学意义(P<0.05)。研究组术中输血率5.00%和产后出血率5.00%均低于对照组的22.50%、25.00%,差异均具有统计学意义(P<0.05)。结论对瘢痕子宫剖宫产孕妇实施子宫下段横向缩窄术能够有效减少子宫下段出血量,降低术中输血率和产后出血率,提高治疗效果,因此具有较高的临床应用价值。
Objective To discuss the effect of transverse constriction in lower uterine segment in reducing blood loss during cesarean section of scarred uterus. Methods A total of 80 pregnant women who underwent second cesarean section due to scarred uterus were divided into control group and research group according to hospitalized odd and even numbers, with 40 cases in each group. The control group was treated with intramuscular injection of oxytocin 20 U for hemostasis, and the research group was treated with transverse constriction in lower uterine segment on the basis of hemostasis in the control group. The amount of intraoperative blood loss, postoperative 24 h blood loss, duration of lochia, treatment effect, intraoperative blood transfusion rate, and postpartum hemorrhage rate were compared between the two groups. Results The amount of intraoperative blood loss(263.4±10.7) ml and postoperative 24 h blood loss(462.5±94.3) ml of the research group were less than(378.5±12.2) and(850.6±106.7) ml of the control group, and duration of lochia(17.4±6.3) d was shorter than(23.7±6.2) d of the control group, and the difference was statistically significant(P<0.05). The total treatment effective rate 95.00% of the research group was higher than 80.00% of the control group, and the difference was statistically significant(P<0.05). The intraoperative blood transfusion rate 5.00% and postpartum hemorrhage rate 5.00% of the research group were lower than 22.50% and 25.00% of the control group, and the difference was statistically significant(P<0.05). Conclusion For scarred uterine cesarean section patients, transverse constriction in lower uterine segment can effectively reduce the amount of lower uterine bleeding, lower the rate of intraoperative blood transfusion and postpartum hemorrhage, and improve the effect of surgical treatment, so it has high clinical application value.
作者
宋亚珍
SONG Ya-zhen(Shenzhen Yuandong Maternity Hospital,Shenzhen 518000,China)
出处
《中国实用医药》
2020年第31期27-29,共3页
China Practical Medicine
关键词
子宫下段横向缩窄术
瘢痕子宫
剖宫产
术中出血量
Transverse constriction in lower uterine segment
Scarred uterus
Cesarean section
Blood loss
