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目的采用子宫体倒U形动脉缝扎术对剖宫产术中子宫收缩乏力性出血患者进行止血性治疗,并观察手术对血液循环以及子宫血管的影响。方法选取高州市中医院2012年3月至2013年3月实施剖宫产术中子宫收缩乏力性出血患者66例,按照随机抽取法将其分为对照组与观察组,其中对照组予以常规止血方式进行治疗,观察组予以子宫体倒U形动脉缝扎术进行治疗,对两组患者的止血有效率、即刻止血率以及总有效率进行记录,并对比两组患者子宫血循环指标子宫动脉阻抗指数以及收缩期峰值/舒张末期血流速度。结果观察组即刻止血率与总有效率高于对照组,两组比较差异有统计学意义(P<0.05)。结论子宫体倒U形动脉缝扎术在应用过程中具有操作简单、迅速、止血效果确切、安全等众多优点,其在最大限度上使产科急症子宫切除术予以减免,并降低了对患者术后子宫及卵巢的血管及血循环的影响,在剖宫产术中子宫收缩乏力性出血手术中值得推广与应用。
Objective To use uterine inverted U-shaped artery suture on cesarean section in patients with uterine atony bleeding hemostasis, and to observe the impact of surgery on blood circulation and uterine blood vessels. Methods Sixty-six patients with uterine atresia-induced hemorrhage in cesarean section were recruited from March 2012 to March 2013 in Gaozhou Traditional Chinese Medicine Hospital. According to random sampling, they were divided into control group and observation group. The control group received routine hemostasis Way of treatment, the observation group was uterine inverted U-shaped artery suture for treatment, the two groups of patients with hemostatic efficiency, immediate hemostasis rate and total effective rate were recorded, and compared the two groups of uterine blood circulation index of uterine artery impedance index And systolic peak / end-diastolic blood flow velocity. Results The immediate hemostasis rate and total effective rate of the observation group were higher than those of the control group. There was significant difference between the two groups (P <0.05). Conclusion Urethral inverted U-shaped artery suture in the application process has the advantages of simple and rapid operation, the exact effect of bleeding, safety and many other advantages, which maximize the obstetric emergency hysterectomy to be reduced, and reduce the postoperative patients Uterine and ovarian blood vessels and blood circulation, uterine contraction in cesarean section bleeding surgery is worth promoting and application.