Abstract:

Objective　To investigate the application effect of bilateral ascending uterine artery ligation combined with uterine balloon tamponade in postpartum hemorrhage of cesarean section. Methods　A retrospective analysis was made on 100 cases of cesarean section with high risk factors for postpartum hemorrhage treated by bilateral ascending uterine artery ligation combined with uterine balloon tamponade (study group) and 100 cases of cesarean section with high risk factors for postpartum hemorrhage treated by uterine balloon tamponade alone (control group) in The People's Hospital of Lufeng from January 2019 to December 2021. The study group was (28.07±4.78) years old, and the gestational age was 34⁺³ - 40⁺⁵ weeks; the control group was (27.74±3.90) years old, and the gestational age was 34⁺⁴ - 40⁺³ weeks. The differences of postpartum hemorrhage, operation time, hospital stay, and hemoglobin (HGB) change before and after surgery between the two groups were statistically analyzed, and the incidence of postpartum complications and adverse reactions in the two groups were analyzed. Independent sample t test and χ² test were used. Results　The postpartum hemorrhage volume in the study group was (1 208.0±327.3) ml, which was significantly lower than that in the control group [(1 547.8±364.3) ml] (t=6.938 0, P<0.000 1). The postoperative HGB of the study group was (81.2±15.1) g/L, which was significantly higher than that of the control group [(70.8±17.3) g/L] (t=3.219 0, P=0.001 5). The operation time of the study group and the control group were (84.7±15.2) min and (82.7±16.1) min, and the hospitalization time of the study group and the control group were (8.3±1.4) d and (8.0±1.6) d, with no statistically significant differences between the two groups (both P>0.05). There was no statistically significant difference in the incidence of postpartum complications and adverse reactions between the two groups (P>0.05). Conclusion　Bilateral ascending uterine artery ligation combined with uterine balloon tamponade is better than uterine balloon tamponade alone in the treatment of postpartum hemorrhage of cesarean section.

Key words:

Postpartum hemorrhage, Cesarean section, Bilateral ascending uterine artery ligation, Uterine balloon tamponade

摘要：

目的　探讨双侧子宫动脉上行支结扎术联合宫腔球囊填塞术在剖宫产产后出血中的应用效果。方法　本文为回顾性研究，选取2019年1月至2021年12月在陆丰市人民医院应用双侧子宫动脉上行支结扎联合宫腔球囊填塞术（研究组）或单纯应用宫腔球囊填塞术（对照组）治疗的具有产后出血高危因素的剖宫产产妇各100例。研究组年龄为（28.07±4.78）岁，孕周34⁺³～40⁺⁵周；对照组年龄（27.74±3.90）岁，孕周34⁺⁴～40⁺³周。统计分析两组产后出血量、手术时间、住院时间和术前术后血红蛋白（HGB）变化的差异，并且分析两组的产后并发症及不良反应的发生率。用独立样本t检验、χ²检验。结果　研究组的产后出血量为（1 208.0±327.3）ml，明显少于对照组（1 547.8±364.3）ml（t=6.938 0，P<0.000 1）；研究组的术后HGB为（81.2±15.1）g/L，明显高于对照组的（70.8±17.3）g/L（t=3.219 0，P=0.001 5）；研究组和对照组的手术时间分别为（84.7±15.2）min和（82.7±16.1）min，住院时间分别为（8.3±1.4）d和（8.0±1.6）d，两组比较差异均无统计学意义（均P>0.05）；研究组和对照组产后并发症及不良反应方面比较差异无统计学意义（P>0.05）。结论　双侧子宫动脉上行支结扎术联合宫腔球囊填塞术在剖宫产产后出血中的治疗效果优于单纯宫腔球囊填塞术。

关键词:

产后出血, 剖宫产, 双侧子宫动脉上行支结扎术, 宫腔球囊填塞术