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目的探讨剖宫产术中出现子宫收缩乏力患者保留子宫的保守性治疗方法。方法剖宫产术中出现子宫收缩乏力予以常规按摩子宫、缩宫剂后32例无效患者分A、B两组。两组均行改良子宫B-Lynch缝合术(背带式缝合子宫捆绑术)同时应用10%葡萄糖酸钙10mL加入5%葡萄糖注射液100mL中缓慢静脉滴注。A组回病房后仍有宫缩乏力性出血者予以子宫切除术;B组仍有宫缩乏力者尽早关腹后正确按摩子宫,持续24h。结果 A组保守治疗率71%,B组100%,B组保守治疗率明显高于A组,差异有统计学意义(P<0.01)。结论常规处理后仍有宫缩乏力者联合24h持续按摩子宫,是保留子宫的方法之一,尤其适用于开展剖宫产手术的基层医院。
Objective To investigate the conservative treatment of uterine retention in patients with uterine atresia during cesarean section. Methods Cesarean section occurred uterine atony in conventional uterine massage, uterine contraction after 32 cases of invalid patients were divided into A and B groups. Both groups underwent modified uterine B-Lynch suture (strap suture of the uterus tied) while 10% calcium gluconate 10mL added 5% glucose injection 100mL slow intravenous infusion. A group back to the ward there are still uterine bleeding after hysterectomy; B group still uterine attrition as soon as possible after the abdomen correct massage the uterus, sustained 24h. Results The conservative treatment rate was 71% in group A and 100% in group B, and the conservative treatment rate in group B was significantly higher than that in group A (P <0.01). Conclusion Conventional treatment of uterine with uterus, which is still accompanied by uterine atony in 24h, is one of the methods to preserve the uterus, especially for the primary hospital for cesarean section.