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目的探讨子宫下段前后壁贯穿缝合术对前置胎盘剖宫产术中出血的临床疗效。方法收集2014年5月至2016年4月前置胎盘剖宫产术患者80例,随机分为对照组和实验组,每组40例。对照组给予子宫动脉上行支结扎术,实验组采取子宫下段前后壁贯穿缝合术,比较两组患者相关临床指标、临床事件发生率与医疗满意度。结果实验组临床指标均低于对照组,差异有统计学意义(P<0.05)。实验组术后24 h外出血率(10.0%)与输血率(15.0%)均低于对照组,实验组医疗满意度(100%)高于对照组(96%),差异有统计学意义(P<0.05)。结论子宫下段前后壁贯穿缝合术对前置胎盘剖宫产术中出血效果显著,可提高医疗满意度。
Objective To investigate the clinical effect of anterior and posterior wall penetrating suture of lower uterus on bleeding in cesarean section of placenta previa. Methods 80 patients with placenta previa in May 2014 to April 2016 were randomly divided into control group and experimental group, 40 cases in each group. The control group was given uterine artery ligation, the experimental group adopted the lower uterine anterior and posterior wall through the suture, comparing the two groups of patients related clinical indicators, the incidence of clinical events and medical satisfaction. Results The clinical indexes of the experimental group were lower than that of the control group, the difference was statistically significant (P <0.05). The bleeding rate (10.0%) and blood transfusion rate (15.0%) in the experimental group at 24 hours after operation were lower than those in the control group, and the satisfaction rate in the experimental group (100%) was higher than that in the control group (96% P <0.05). Conclusion The anterior and posterior wall of the uterus through the suture on the placenta previa placenta previa bleeding effect is significant, can improve the medical satisfaction.