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目的探讨应用子宫动脉下行支结扎+宫颈环扎术对治疗产后出血的临床效果。方法对15例分娩过程中出现难治性产后出血的产妇应用常规保守治疗失败后,给予子宫动脉下行支结扎+宫颈环扎术,观察术后的疗效。结果治疗产后出血成功率100%,术后24 h内阴道流血均<100 ml,无宫腔积血,产后42 d随访无异常,月经产后4~6个月均恢复正常。结论子宫动脉下行支结扎+宫颈环扎术治疗产后出血效果明显、手术方法简便易行、经济适用,同时能够保留子宫,不影响月经周期,值得在临床尤其在基层医院推广应用。
Objective To investigate the clinical effect of uterine artery descending branch ligation and cervical cerclage on postpartum hemorrhage. Methods 15 cases of labor during delivery of refractory postpartum hemorrhage in women with conventional conservative treatment failed, give the uterine artery descending branch ligation + cervical cerclage surgery to observe the effect. Results The success rate of treating postpartum hemorrhage was 100%, vaginal bleeding was less than 100 ml within 24 hours after operation, and no uterine hemorrhage was observed. No abnormalities were observed after 42 days of postpartum follow-up and 4 to 6 months after delivery. Conclusions The descending branch ligation of uterine artery and cervical cerclage are effective in treating postpartum hemorrhage. The surgical method is simple and easy to operate, economical and practical. Meanwhile, it can keep the uterus without affecting the menstrual cycle. It is worth to be popularized and applied in clinic especially in primary hospitals.