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目的探讨难治性产后出血给予宫腔纱布填塞术辅助治疗的可行性。方法 60例难治性产后出血患者,随机分为结扎组和辅助组,各30例。结扎组给予单纯子宫动脉结扎术治疗,辅助组给予子宫动脉结扎术结合宫腔纱布填塞术治疗,比较两组患者的止血效果。结果辅助组治疗后止血有效29例,结扎组治疗后有效22例,比较差异有统计学意义(P<0.05)。治疗后辅助组2 h出血量为(45.1±9.4)ml,少于结扎组的(63.5±9.5)ml,差异有统计学意义(t=7.541,P<0.05)。辅助组治疗后子宫切除0例,结扎组治疗后子宫切除5例,比较差异有统计学意义(χ2=5.455,P<0.05)。结论临床上宫腔纱布填塞术辅助治疗难治性产后出血能提高止血效果,止血迅速,能减少患者子宫切除率,可行性高。
Objective To investigate the feasibility of refractory postpartum hemorrhage to give intrauterine gauze packing a supplementary treatment. Methods Sixty patients with refractory postpartum hemorrhage were randomly divided into ligation group and auxiliary group, with 30 cases in each group. The ligation group was treated with ligation of uterine artery alone, the auxiliary group with uterine artery ligation and uterine gauze packing, and the hemostatic effect was compared between the two groups. Results In the auxiliary group, hemostasis was effective in 29 cases and in the ligation group, 22 cases were effective after treatment. The difference was statistically significant (P <0.05). The amount of hemorrhage 2 h after treatment in the adjuvant group was (45.1 ± 9.4) ml less than that in the ligation group (63.5 ± 9.5) ml, the difference was statistically significant (t = 7.541, P <0.05). In the adjuvant group, 0 cases were treated by hysterectomy and 5 cases were treated by ligation in the ligation group. The difference was statistically significant (χ2 = 5.455, P <0.05). Conclusion Intrauterine gauze packing in the treatment of intractable postpartum hemorrhage can improve the hemostatic effect, stop bleeding quickly and reduce the hysterectomy rate of patients with high feasibility.