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目的探讨改良式荷包缝合法治疗子宫收缩乏力性产后出血的效果。方法对我院近5年来所诊治的剖宫产产后子宫收缩乏力性出血的患者,术中应用改良式荷包缝合法治疗,共283例,做一回顾性分析。结果 283例患者中有203例患者为局部性子宫收缩乏力,应用改良式荷包缝合法,止血彻底,全部治愈,无并发症;80例为全子宫收缩乏力,79例止血确切,无并发症,仅仅1例发生感染。术后1~6个月子宫附件多普勒示子宫复旧良好,形态正常,血流图像未见明显异常。结论改良式荷包缝合术治疗子宫收缩乏力性出血操作简单、止血确切,保留了患者的子宫,确保了患者的生育功能,值得临床应用。
Objective To investigate the effect of modified purse suture on postpartum hemorrhage of uterine atony. Methods In our hospital in the past 5 years, diagnosis and treatment of cesarean section postpartum uterine atony bleeding patients, the application of modified purse suture method, a total of 283 cases, a retrospective analysis. Results Totally 203 cases of 283 patients had local uterine atony. The modified purse suture method was used to stop the bleeding completely and completely without complication. 80 cases were all uterine atony and 79 cases had exact hemostasis without complication. Only 1 patient had an infection. Postoperative 1 to 6 months of uterine attachment Doppler showed good recovery of the uterus, normal morphology, blood flow images showed no significant abnormalities. Conclusion Improved purse suture for the treatment of uterine atony bleeding is simple, the exact hemostasis, the retention of the patient’s uterus, to ensure that the patient’s reproductive function, is worthy of clinical application.