摘要
目的:探讨双侧子宫动脉上行支结扎与纱条宫腔填塞在前置胎盘剖宫产术中应用效果。方法:选取某院于2018年1月~2019年7月接诊的80例前置胎盘产妇,按随机数字表法分为试验组和对照组各40例。试验组行双侧子宫动脉上行支结扎,对照组行宫腔纱条填塞法,对比两组手术情况、输血率、子宫切除率、出血情况、术后并发症发生情况。结果:两组手术用时对比,差异无统计学意义(P>0.05);试验组止血时间、出血量、住院时间与对照组相比较少,差异有统计学意义(P<0.05);试验组输血率低于对照组,止血成功率与对照组相比较高,差异有统计学意义(P<0.05);两组子宫切除率相比,差异无统计学意义(P>0.05);试验组并发症总发生率与对照组相比较低,差异有统计学意义(P<0.05)。结论:与纱条宫腔填塞相比,前置胎盘剖宫产术后使用双侧子宫动脉上行支结扎能减少出血量,利于缩短住院时间。
Objective:To investigate the effect of ligation of ascending branches of bilateral uterine artery and filling of uterine cavity with gauze in cesarean section of placenta previa.Methods:80 cases of placenta previa in a hospital from January 2018 to July 2019 were selected and randomly divided into two groups,with 40 cases in each group.The upper branches of bilateral uterine arteries were ligated in the experimental group and gauze filling method was used in the control group.The operation,blood transfusion,hysterectomy,bleeding and postoperative complications were compared between the two groups.Results:There was no statistically significant difference in operation time between the two groups(P>0.05).There was a little difference in hemostasis time,bleeding volume and hospitalization time between the experimental group and the control group,with statistical significance(P<0.05).The blood transfusion rate of the experimental group was lower than that of the control group,and the hemostasis success rate was higher than that of the control group,and the difference was statistically significant(P<0.05).Compared with the hysterectomy rate of the two groups,there was no statistically significant difference(P>0.05).The total incidence of complications in the experimental group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Compared with filling of uterine cavity with gauze,ligation of the ascending branches of bilateral uterine artery after cesarean section of placenta previa can reduce the amount of bleeding,and shorten the hemostasis time.
作者
张小环
Zhang Xiaohuan(Department of Obstetrics,Nanyang Central Hospital,Nanyang 473000)
出处
《数理医药学杂志》
CAS
2021年第3期375-376,共2页
Journal of Mathematical Medicine
关键词
前置胎盘
双侧子宫动脉上行支结扎
剖宫产
纱条宫腔填塞
placenta previa
ligation of the ascending branches of bilateral uterine arteries
cesarean section
filling of uterine cavity with gauze
