| 摘要: |
| 目的通过比较不同缝合术对剖宫产产后出血的疗效,探讨网压晨笛式缝合术在该病治疗中的临床价值。方法选取2014年1月至2016年6月间在我院行剖宫产且发生产后出血的52例孕产妇作为研究对象。按照止血方法的不同分为网压晨笛缝合术组与改良B-Lynch缝合术组,各26例。观察并比较两组止血效果和并发症状况。结果网压晨笛式缝合术手术时间稍长,而术中出血量和术后恶露量均小于改良式B-Lynch缝合术,差异有统计学意义(P<0.05)。术后两组均未发生再次大出血、肠梗阻等严重并发症。术后疼痛、肠粘连、感染与组织坏死的发生率两组间的差异无统计学意义(P>0.05).结论网压晨笛式缝合术治疗宫缩乏力性产后出血,无需复杂的医疗技术和特殊器械,具有成功率高,止血效果好的特点,与改良B-Lynch缝合术相比,治疗效果显著。 |
| 关键词: 网压晨笛式缝合 改良式B-Lynch缝合术 剖宫产 产后出血 |
| DOI： |
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| 基金项目:四川省卫生和计划生育委员会科研课题(编号:150034);成都市科学技术局成都市科技惠民技术研发项目(编号:2014-HM01-00330-SF);成都市卫生局卫生科研重大攻关项目(编号:2014044) |
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| Analysis of Effect of CNCS and Modified B-Lynch Suture on Postpartum Hemorrhage of Cesareansection |
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Peng Xiaomei;Wang Haiying
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The Fifth People’sH ospital of Chengdu
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| Abstract: |
| Objective To investigate the clinical value of Chendi Net Compression Suture(CNCS) in the treatment of postpartum hemorrhage of cesarean section by comparing the effect of different suture methods onthis disease.Methods From January 2014 to June 2016,52 cases of pregnant women who underwent caesarean section and postpartum hemorrhage in our hospital were selected as the object of study. And they were divided into CNCS group and modified B-Lynch suture group according to the different methods of hemostasis,each of 26 cases.The hemostatic effect and complications were observed and compared between the two groups. Results The operation time in CNCS group was slightly longer,but the amount of intraoperative bleeding and postoperative lochia wereboth less than those in modified B-Lynch suture group(P < 0. 05). No serious complications such as massive bleeding or intestinal obstruction occurred in the two groups after operation.The difference of incidence of postoperative pain,intestinal adhesion,infection and tissue necrosis between the two groups was not statistically significant(P>0. 05). Conclusion CNCS treatment of uterine atony postpartum hemorrhage has the advantages of high success rate and good hemostasis effectwithout complex medical technology and special equipment. And compared with the modified B-Lynch suture,the treatment effect of CNCS is remarkable. |
| Key words: CNCS modifiedB-Lynchsuture cesareansection postpartumhemorrhage |
