双侧弓形动脉缝扎术在产后出血治疗中的效果分析

目的 探讨双侧弓形动脉缝扎术对剖宫产术后子宫收缩乏力的产后出血治疗效果.方法 以我院2011年1月至2013年7月间收治的60例宫缩乏力型产后出血保守治疗无效产妇为研究对象,观察组产妇使用双侧弓形动脉缝扎术,对照组产妇使用背带式压捆子宫缝线术,比较两组产妇产后出血止血效果、出血量及手术时间、术后子宫血供情况及术后并发症发生率之间的差异.结果 两组产妇即刻止血率差异无统计学意义（P＞ 0.05）,观察组患者产后总出血量和手术时间分别为（354.29±69.50） ml和（61.93±12.84） min,对照组为（423.04±59.27） ml和（84.39±11.72） min,观察组显著低于对照组（P＜0.05）,术后子宫血供情况优于对照组,观察组术后并发症发生率为6.67％,显著低于对照组（30.00％）,其差异有统计学意义（P＜0.05）.结论 双侧弓形动脉缝合术可在剖宫产术后子宫收缩乏力型产后出血中起到积极作用,其止血效果明确、手术时间较短,对产妇子宫血供影响小,术后并发症发生风险低.

Bilateral arcuate artery suture hemastasis for postpartum Hemorrhage due to uterine inertia after caesarean section

Objective To explore the effect of bilateral arcuate artery suture hemosatasis in the treatment of postpartum hemorrhage due to uterine inertia after caesarean section.Methods 60 puerperae with postpartum hemorrhage due to uterine inertia after caesarean section were divided into an observation group aud a control group.The Blynch suture hemostasis was used in the control group,and bilateral arcuate artery suture hemostasis in the observation group.The differences of hemostatic effect,operation time,postoperative uterine blood supply situation,and the incidence of complications between the two groups were compared.Results There was no significant difference in henostatic effect between the 2 groups.The postpartum bleeding volume and operation time were （354.29 ± 69.50） ml and （61.93 ± 12.84） min in the observation group and were （423.04 ± 59.27） ml and （84.39 ± 11.72） min in the control group,respectively,with statistical differences（P 〈 0.05）.The postoperative uterine blood supply situation was better in the observation group than in the control group.The incidence of complications was 6.67% in the observaton group and was 30.00% in the control group,with a statistical difference（P 〈 0.05）.Conclusions Bilateral arcuate artery suture hemosatasis in the treatment of postpartum hemorrhage due to uterine inertia after caesarean section is effective,and can shorten operation time and lower the incicdence of postoperative complications,and has small influence on the blood supply of uterine.