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目的:对子宫动脉上行支缝扎术配合子宫背带式缝合术在剖宫产术中大出血的应用进行探讨与研究。方法:抽取我院在2009年12月到2012年12月在我院行剖宫产术术中大出血的患者28例,在通过子宫体及静脉注射缩宫素,按摩子宫,米索前列醇直肠给药等综合止血措施后均不能把出血给有效控制住,转而采用子宫动脉上行支缝扎术加子宫背带式缝合术,对其临床治疗效果进行观察。结果:28例患者治疗后宫缩好转,出血减少,无继发产后出血,成功地保留了子宫,术后无任何并发症发生。患者的随访时间平均为12.5个月,月经均恢复到正常状态。结论:在抢救剖宫产术中大出血患者中,子宫动脉上行支缝扎术加子宫背带式缝合术操作简单,止血迅速可靠安全,且能保留子宫以及生理功能,又不会影响月经的恢复,是一种治疗剖宫产产后大出血的有效止血方法,值得临床推广。
OBJECTIVE: To explore and study the application of uterine artery suture ligation combined with uterine suture strap suture in the bleeding during cesarean section. Methods: Twenty-eight patients with major hemorrhage during cesarean section in our hospital from December 2009 to December 2012 were selected. After uterine and intravenous injection of oxytocin, the uterus, the misoprostol rectum Bleeding and other measures can not be integrated into the bleeding control to live in favor of the Uterine Artery ligation and uterine suture straps suture, to observe the clinical treatment. Results: After treatment, 28 cases of uterine contractions improved, bleeding reduced, no postpartum hemorrhage, successfully retained the uterus, no postoperative complications. The average follow-up time was 12.5 months and the menstruation returned to normal. Conclusion: In the rescue of patients with massive hemorrhage in cesarean section, uterine artery ligation and uterine suture strap suture operation is simple, fast and reliable hemostasis, and can retain the uterus and physiological functions, but will not affect the recovery of menstruation, Is an effective cesarean section bleeding after hemostasis effective method, worthy of clinical promotion.