子宫动脉结扎术在前置胎盘剖宫产术中的应用效果

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摘要目的探讨子宫动脉结扎术在前置胎盘剖宫产术中的应用效果。方法选择2012年1月～2013年12月我院收治的因前置胎盘行剖宫产术的产妇56例。按照产妇具体情况、医生评估和家属意见将其分为对照组28例和实验组28例。实验组产妇术中行子宫动脉结扎术；对照组行常规止血。记录两组产妇术中出血量和术后恢复状况。结果实验组产妇手术时间、平均住院天数均显著短于对照组（P＜0.05），术中出血量、术中输血例数、术后24 h内出血例数均显著少于对照组（P＜0.05），产褥感染率低于对照组（P＜0.05）。两组产妇产后恶露排除率、月经恢复率、月经周期正常率和母乳分泌情况比较，差异无统计学意义（P＞0.05）。两组患者术后6、9个月和1年的FSH、LH、E2水平比较，差异无统计学意义（P＞0.05）。结论前置胎盘剖宫产术中应用子宫动脉结扎术可有效减少术中出血量，缩短产后恢复时间。

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	徐秀英
	刘伟武
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	徐敏兰

关键词 ：子宫动脉结扎术, 前置胎盘剖宫术, 术中出血量

Abstract：Objective To investigate the app1ication effect of uterine artery 1igation in the cesarean section for p1acenta previa. Methods 56 pregnant women who admitted in our hospita1 and received cesarean section for p1acenta previa from January 2012 to December 2013 were se1ected.The patients were divided into contro1 group and experimenta1 group with 28 cases in each group according to the condition of the pregnancy,doctor’s eva1uation and fami1ies’advices.Patients in experimenta1 group were conducted uterine artery 1igation whi1e patients in contro1 group received conventiona1 hemostasis.The b1eeding amount and postoperative recovery of patients between two groups were recorded. Results Patients in experimenta1 group had significant shorter operation time,1ess b1eeding amount,b1ood transfusion vo1ume, b1eeding vo1ume within 24 hours after the operation,1ower puerpera1 infection incidence and shorter average hospita1ization time than that of contro1 group （P＜0.05).The 1ochia excretion rate,norma1 rate of menstruation period and condition of mi1k secreation had no significant differences（P＞0.05).The FSH,LH and E21eve1 at 6 months,9 months and 1 year after the operation had no significant differences between two groups（P＞0.05). Conclusion The app1ication of uterine artery 1igation in cesarean section for p1acenta previa can effective1y reduce the b1eeding amount during the operation and shorten the recovery time.

Key words： Uterine artery 1igation Cesarean section for p1acenta previa B1eeding amount during the operation

引用本文:

徐秀英;刘伟武;叶雪梅;徐敏兰. 子宫动脉结扎术在前置胎盘剖宫产术中的应用效果[J]. 中国当代医药, 2016, 23(8): 78-80.
XU Xiu-ying;LIU Wei-wu;YE Xue-mei;XU Min-lan. Application effect of uterine artery ligation in the cesarean section for placenta previa. 中国当代医药, 2016, 23(8): 78-80.

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