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目的探讨子宫动脉上行支结扎术在剖宫产产后出血中的应用效果。方法回顾性分析2013年1月至2015年1月剖宫产术中发生大出血的患者103例。按照不同治疗方法将其分为单纯药物治疗组(A组,50例),子宫动脉上行支结扎术组(B组,35例)及联合药物及子宫动脉上行支结扎术组C组(18例)。上述三种方法无效时,采取子宫切除术。结果子宫动脉上行支结扎术治疗效果高于单纯药物组,三组产妇术中出血量、术后出血量、手术时间、住院时间比较差异未见统计学意义(P>0.05)。结论子宫动脉上行支结扎术是一种有效的剖宫产术中止血方法,操作简单、不良反应少,值得临床应用。
Objective To investigate the effect of uterine artery ligation on cesarean section postpartum hemorrhage. Methods A retrospective analysis of 103 patients with major bleeding during cesarean section between January 2013 and January 2015 was performed. According to different treatment methods, they were divided into three groups: group A (n = 50), group B (n = 35), group C (n = 18) ). When the above three methods are ineffective, take a hysterectomy. Results The effect of ligation of uterine artery ligation was higher than that of simple drug group. The bleeding volume, postoperative bleeding volume, operation time and hospital stay in the three groups showed no significant difference (P> 0.05). Conclusion Uterine artery ligation is an effective method of cesarean section in the hemostasis method, simple operation, fewer adverse reactions, it is worth clinical application.