|
|
|
| Comparison of the clinical effect of the vertical parallel suture of lower segment of uterus and 8-word patch suture in the cesarean section of the patients with placenta previa |
| ZHOU Li-li |
| Department of Obstetrics and Gynecology,Maternal and Child Health Care Hospital of Baiyun District of Guangzhou City in Guangdong Province,Guangzhou 510400,China |
|
|
|
|
Abstract [Abstract]Objective To explore the clinical hemostatic effect of the vertical parallel suture of lower segment of uterus in the cesarean section of the patients with placenta previa.Methods From January 2016 to August 2017,80 pregnant women with placenta previa delivered in the Department of Obstetrics and Gynecology of our hospital were selected as the research object.They were randomly divided into the control group and the observation group,40 cases in each group.The patients in the control group received the hemostasis after the operation with the use of and the 8-word patch suture,and the patients in the observation group received the hemostasis after the operation with the vertical and parallel compression suture of the lower uterine segment.The bleeding volume,the effective hemostasis rate,hemostasis time,postoperative rebleeding rate and long-term complication rate were compared between the two groups.Results The amount of bleeding in the observation group was less than that in the control group,the difference was statistically significant(P＜0.05).The effective hemostasis rate in the observation group was higher than that in the control group,the difference was statistically significant(P＜0.05).The operation time and hospitalization days in the observation group were shorter than those in the control group,the difference was statistically significant(P＜0.05).The rate of postoperative re-bleeding and the total incidence of postoperative complications in the observation group were less than those in the control group,the difference was statistically significant(P＜0.05).Conclusion In the caesarean section of the placenta previa,the treatment of the patient by vertical and parallel compression suture of the lower uterine segment can achieve effective hemostasis in a short time,reduce postoperative bleeding and reduce postoperative complications of the patients.
|
|
|
|
|
|
| [1] |
谢幸，孔北华.妇产科学[M].9版.北京：人民卫生出版社，2018：147，211.
|
| [2] |
Matsuoka K，Kawabata T，Yoza K，et al.Anesthetic management of patients with placenta previa accreta for cesarean section：a 7-year single center experience[J].Masui，2015，64（1）：70-76.
|
| [3] |
陈汉青，邹粟花，杨建波，等.前置胎盘附着位置对剖宫产后再次妊娠母婴结局的影响[J].中华产科急救电子杂志，2013，2（3）：198-201.
|
| [4] |
汪乾翠.子宫下段平行垂直缝合术联合欣母沛治疗剖宫产产后出血的临床效果分析[J].中国医药科学，2017，7（18）：94-97.
|
| [5] |
唐国珍，张小霞.子宫下段垂直平行压迫缝合法治疗前罟胎盘术中出血 72例[J].中外医疗，2015，20（4）：107-108.
|
| [6] |
齐新颖，杨凤桢，付永杰，等.子宫下段压迫缝合阻断子宫动脉方法治疗剖宫产术中子宫下段出血28例分析[J].中国计划生育学杂志，2015，23（1）：50-52.
|
| [7] |
宋改环，奚杰，白延青，等.平行垂直压迫缝合技术治疗剖宫产术中前置胎盘大出血的效果评价[J].现代实用医学，2012，24（7）：730-732.
|
| [8] |
吴寒冰，艾玲，钟少平，等.宫腔球囊联合欣母沛在前置胎盘剖宫产术中止血的临床观察[J].中华全科医学，2015，13（2）：238-240.
|
| [9] |
游兰，黄芳，黄洪萍.Hwu缝合术在前置胎盘剖宫产术中的应用效果评价[J].中国实用医药，2015，10（34）：68-69.
|
| [10] |
周桂云，申薇.子宫压缩缝合术治疗剖宫产产后出血的效果评价[J].河北医药，2017，39（9）：1403-1404.
|
| [11] |
Hwu YM，Chen CP，Chen HS，et al.Parallel vertical compression sutures：a technique to control bleeding from placenta praevia or accreta during caesarean section[J].Br J Obstet Gynaecol，2005，112（10）：1420-1423.
|
| [12] |
Holtsema H，Nijland R，Huisman A，et al.The B-Lynch technique for post partum haemorrhage：an option for every gynaecologist[J].Eur J Obstet Gynaecol Reproductive Biol，2004，115：39-42.
|
| [13] |
饶燕珍，黄宝琴，陈琴.欣母沛治疗和预防产后出血的效果[J].当代护士，2009，22（10）：34.
|
| [14] |
瘳陈亮，蒋红梅，邱海燕，等.欣母沛防治剖宫产产后出血的临床观察及护理[J].中国医药指南，2008，10（6）：10.
|
|
|
|
