许洪梅 闵爱萍 罗晓

    [摘要] 目的 探讨子宫动脉结扎在凶险性前置胎盘剖宫产术中的临床价值。 方法 收集2015年5月～2017年5月乐山市人民医院收治的因凶险性前置胎盘行剖宫产术的产妇78例作为研究对象，按照简单数字表法分为观察组和对照组。其中观察组40例采用子宫动脉结扎术；对照组38例采用常规止血法，比较两组患者手术时间、缩宫素使用量、术中出血量、输血量、术后24 h出血量、术后24 h体温、术后24 h中性粒细胞数、子宫切除及并发症情况。 结果 与对照组比较，观察组手术时间、缩宫素使用量、术中出血量、输血量、术后24 h出血量、子宫切除情况及并发症发生率均较低，差异有统计学意义(P 0.05)。 结论 将子宫动脉结扎应用于凶险性前置胎盘剖宫产术中，临床效果显著，安全可靠，可在临床推广。

    [关键词] 凶险性前置胎盘；产后出血；子宫动脉结扎；B-Lynch缝合；剖宫产

    [中图分类号] R714.461 [文献标识码] A [文章编号] 1673-7210(2018)10(c)-0080-04

    [Abstract] Objective To investigate the clinical value of uterine artery ligation in cesarean section of pernicious placenta previa. Methods A total of 78 cases of cesarean section women admitted to the People′s Hospital of Leshan City from May 2015 to May 2017 were selected as study objects， they were randomly divided into observation group and control group according to the simple number list method. Forty cases in the observation group were treated with uterine artery ligation， 38 cases in the control group were treated with conventional hemostasis. The operation time， the dosage of oxytocin ......