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目的:探讨经阴道缝扎子宫动脉下行支联合宫颈钳夹术治疗产后出血的临床疗效。方法:将明确为宫颈因素所致的产后出血64例分为研究组(n=33)和对照组(n=31),研究组经阴道缝扎子宫动脉下行支联合宫颈钳夹术进行止血,对照组经阴道行宫颈间断缝合术,比较两组止血效果。结果:研究组手术平均时间、止血时间及产后2 h出血量均明显少于对照组(P<0.01)。结论:经阴道缝扎子宫动脉下行支联合宫颈钳夹术能快速有效地治疗源于宫颈因素的产后出血。
Objective: To investigate the clinical effect of transvaginal suture of uterine artery descending branch and cervical clamp on postpartum hemorrhage. Methods: Sixty-four cases of postpartum hemorrhage caused by cervical factors were divided into study group (n = 33) and control group (n = 31). The study group was treated by transvaginal uterine artery descending branch combined with cervical clamp to stop bleeding. The control group was transvaginal cervical suture, compare the two groups of hemostatic effect. Results: The average operation time, bleeding time and blood loss 2 h postpartum in the study group were significantly less than those in the control group (P <0.01). Conclusion: Vaginal suture of uterine artery descending branch combined with cervical clamping can quickly and effectively treat postpartum hemorrhage from cervical factors.