Application study of multiple cervical suture in patients with stripping surface refractory hemorrhage after cesarean section caused by placenta previa centralis / 重庆医学

ABSTRACT

Objective To explore the efficacy and safety of multiple cervical suture in treating stripping surface intractable hemorrhage after cesarean section in the patients with placenta previa centralis.Methods Twenty-three patients with stripping surface intractable hemorrhage during cesarean section caused by placenta previa centralis from January 2012 to December 2015 in this hospital were selected and conducted multiple cervical suture,and 21 patients with the same disease undergoing intraoperative conventional hemostasis method from January 2008 to December 2011 served as the control group.The operation time,intraoperative and postoperative blood loss volume,red blood cell transfusion,hysterectomy and postoperative recovery were compared between the two groups.Results The operation time,intraoperative and postoperative blood loss volume,blood transfusion volume and hysterectomy rate in the observation group were significantly less than those in the control group(P＜0.05),while There were no statistical difference in the aspects of postoperative incision infection,bloody lochiorrhea persisting time,menstrual recovery time and menstrual volume between the two groups(P＞0.05).Conclusion The application of multiple cervical suture in the treatment of stripping surface intractable hemorrhage after cesarean section in the patients with placenta previa centralis has better hemostatic effect,had no complications in short term follow up and is worthy clinical promotion and ap plication.