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目的探讨子宫动脉上行支结扎术治疗剖宫产术中大出血的临床疗效以及在阿尔及利亚患者中的应用。方法对2007-2008年4月阿尔及利亚赛义达省妇产科医院16例剖宫产术中大出血患者采用子宫动脉上行支结扎术治疗。对其治疗效果及并发症进行观察及随访。结果16例患者均在术后7～9d痊愈出院,无晚期产后出血及并发症产生。结论子宫动脉上行支结扎术是救治剖宫产术中大出血的安全、简便、有效的措施,既保留了子宫功能,又不影响月经周期。
Objective To investigate the clinical efficacy of uterine artery ligation in the treatment of massive bleeding during cesarean section and its application in Algerian patients. Methods From April 2007 to April 2008, 16 patients with major bleeding during cesarean section in the Saïda Provincial Obstetrics and Gynecology Hospital of Algeria were treated with ligation of the uterine artery. The treatment effect and complications were observed and followed up. Results All the 16 patients were cured and discharged from 7 to 9 days after operation, without postpartum hemorrhage and complications. Conclusion The uterine artery ligation is the safe, simple and effective measure for the treatment of massive bleeding in cesarean section. It not only retains the uterine function but also does not affect the menstrual cycle.