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目的探讨子宫下段环形缝扎术在剖宫产术中前置胎盘致产后出血患者的临床效果。方法收集2012年3月至2014年9月我院收治的120例剖宫产术中前置胎盘致产后出血的产妇的临床资料,随机将其分为对照组和观察组,每组60例。对照组产妇常规治疗,观察组产妇在常规治疗的基础上采用子宫下段环形缝扎术进行治疗。观察两组产妇止血效果和安全性。结果观察组产妇手术出血量、手术时间、住院时间显著少于对照组,差异均有统计学意义(均P<0.05);观察组产妇止血有效率明显优于对照组,差异有统计学意义(P<0.05)。结论剖宫产术中前置胎盘致产后出血的治疗采用子宫下段环形缝扎术不仅操作简便,而且止血率高、安全性强,能够有效缩短产妇手术时间和住院时间,具有较好的治疗效果。
Objective To investigate the clinical effect of lower uterine ring suture in postpartum hemorrhage caused by placenta previa in cesarean section. Methods The clinical data of 120 women with postpartum hemorrhage due to placenta previa in cesarean section collected from March 2012 to September 2014 in our hospital were randomly divided into control group and observation group with 60 cases in each group. The control group of maternal conventional treatment, the observation group of maternal on the basis of conventional treatment with lower uterine ring suture treatment. Two groups of maternal hemostasis and safety were observed. Results The maternal bleeding volume, operation time and hospital stay in the observation group were significantly less than those in the control group (all P <0.05). The effective rate of hemostasis in the observation group was significantly better than that in the control group P <0.05). Conclusion The treatment of postpartum hemorrhage caused by placenta previa in cesarean section is not only easy to operate, but also has high hemostatic rate and safety, which can shorten the maternal operation time and hospitalization time effectively and has a good therapeutic effect .