[1]张慧*,池樱.横向环形缝合瘢痕子宫下段预防产后出血的 应用价值研究[J].中国计划生育和妇产科,2020,(8):39-40,48.
　ZHANG Hui*,CHI Ying.Study on the application value of transverse circular suture in the lower segment of scar uterus in the prevention of postpartum hemorrhage[J].Chinese Journal of Family Planning & Gynecotokology,2020,(8):39-40,48.
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横向环形缝合瘢痕子宫下段预防产后出血的 应用价值研究
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2020年8期
页码:
39-40,48
栏目:
论著与临床
出版日期:
2020-08-25

文章信息/Info

Title:
Study on the application value of transverse circular suture in the lower segment of scar uterus in the prevention of postpartum hemorrhage
作者:
张慧*; 池樱
大同市第一人民医院产五科
Author(s):
ZHANG Hui*; CHI Ying
5th Department of Obstetrics, First People's Hospital of Datong, Datong Shanxi 037000，P.R.China
关键词:
子宫下段横向环形缝合; 瘢痕子宫; 剖宫产; 产后出血
Keywords:
transverse circular suture of lower uterine segment; scar uterus; cesarean section; postpartum hemorrhage
分类号:
R 71446+1
摘要:
目的探讨子宫下段横向环形缝合在瘢痕子宫下段菲薄者预防剖宫产产后出血中的临床应用价值。方法回顾性分析2018年1月至2019年3月于大同市第一人民医院剖宫产分娩的116例瘢痕子宫（剖宫产史，且术中见子宫下段菲薄）孕产妇临床资料，根据预防产后出血的处理方法不同分为观察组与对照组，每组各58例。采用术后阴道后穹隆填塞纱布压迫下段止血为对照组，采用术中子宫下段横向环形缝合压迫止血为观察组。比较两组产妇术中、术后出血量，手术用时及术后预防使用抗生素时长。结果观察组产妇术中、术后2 h、术后24 h出血量分别为（43239±3652）mL、（3623±1711）mL、（12245±3334）mL，均低于对照组的（48836±4175） mL、（5211±2236）mL、（17263±4682）mL，差异有统计学意义（P<005）；两组手术用时分别为（4634±323）min、（4566±326）min，差异无统计学意义（P＞005）；观察组术后根据血常规回报预防性使用抗生素时间为（2467± 1274）h，低于对照组的（4865±1132）h，差异有统计学意义（P<005）。结论子宫下横向环形缝合能显著降低瘢痕子宫下段菲薄产妇剖宫产产后出血量及缩短术后抗生素预防使用时长。
Abstract:
ObjectiveTo investigate the application value of transverse circular suture in the lower segment of scar uterus in the prevention of postpartum hemorrhage.MethodsRetrospective analyzed 116 cases of pregnant women with scarred uterus (cesarean section history, saw the lower section of the uterus flimsy during the operation) at the First People's Hospital of Datong from January 2018 to March 2019, according to different treatment methods to prevent postpartum hemorrhage, they were divided into observation group and control group, with 58 cases in each group.Women using postoperative vaginal posterior fornix packing gauze to compress the lower section to stop bleeding were set as the control group, and women accepted transverse circular suture in the lower segment of scar uterus during operation were set as the observation group.The intraoperative and postoperative bleeding volume, the duration of surgery, and the length of postoperative prophylactic antibiotics were compared between the two groups.ResultsThe bleeding volume during operation,2 hours after operation and 24 hours after operation in the observation group were (43239±3652) mL, (3623±1711) mL, (12245±3334) mL, respectively, lower than those in the control group (48836±4175) mL, (5211±2236) mL and (17263±4682) mL, the differences were statistically significant (P<005). The duration of operation of two groups were (4634±323) min and (4566±326) min respectively, the difference was not statistically significant (P>005).The length of prophylactic use of antibiotics in the observation group according to the blood routine return was (2467±1274) h, lower than that in the control group (4865±1132) h, the difference was statistically significant (P<005).ConclusionTransverse circular suture in the lower segment of scar uterus can significantly reduce postpartum hemorrhage volume and shorten the duration of antibiotic prophylaxis.

参考文献/References:

［1］吴景平，尚雅琼．186例瘢痕子宫妊娠后的分娩方式分析 ［J］．中国妇幼保健，2014，29(8)：11771179. ［2］姚尚龙.浅谈瘢痕子宫妊娠分娩的相关问题 ［J］.中华麻醉学杂志，201６，3６（1）：1415. ［3］张艺珊，顾向应.瘢痕子宫再次妊娠的全程管理 ［J］.中国计划生育与妇产科，2019，11(5):58. ［4］张学伟.子宫下段横形环状压迫缝合术治疗前置胎盘剖宫产后出血的疗效分析 ［J］. 中国现代医药杂志,2018,20(1):5658. ［5］VecchioliScaldzaaac,Morosettic，Vichim，et al.Effect of surgical therapy on urinary symptoms and urodynamic findings in patients with uterine myoma ［J］. Journal of Reproductive Medicine,2016,61(5):436440. ［6］郑棘，薛勤，杨飞飞.经阴道超声在剖宫产术后瘢痕妊娠诊治中的价值 ［J］.临床医药杂志，2016，20（17）：128130. ［7］张旭红. 米索前列醇联合垂体后叶素治疗前置胎盘剖宫产后出血的疗效观察 ［J］. 中国实用医药，2013，8（6）：131132. ［8］张学伟.子宫下段横形环状压迫缝合术治疗前置胎盘剖宫产后出血的疗效分析 ［J］. 中国现代医药杂志,2018 ,20(1):5658.

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更新日期/Last Update: 2020-08-25