Journal of Developmental Medicine(Electronic Version)  2020, Vol. 8 Issue (2): 178-182 DOI: 10.3969/j.issn.2095-5340.2020.02.016 |
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| The effect of cervical suture in the treatment of cervical canal hemorrhage during placenta previa cesarean section |
| Deng Lijun, Zhang Cuijuan, Xu Xueyan
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| Department of Obstetrics, Qinhuangdao Seaport Hospital,Hebei, Qinhuangdao 066000, China |
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Abstract 【Abstract】 Objective To compare the clinical effects and prognosis of local suture and cervical suturefor cervical canal hemorrhage during placenta previa cesarean section. Methods Sixty-four patients withcervical canal hemorrhage who underwent placenta previa cesarean section from October 2012 to October2017 in Qinhuangdao Seaport Hospital were selected and divided into cervical supine suture group (32 cases)and local suture group (32 cases) according to cervical suture method. The operation time, intraoperativeblood loss, red blood cell suspension input, plasma input, hemostasis time, vaginal bleeding after one dayof the two groups were compared, and the causes and extent of cervical canal bleeding were also compared.
After 8 weeks of follow-up, the intra-abdominal infection rate, hysterectomy rate and puerperal morbidity ratewere compared between the two groups. Results The operation time and hemostasis time in the cervicalsuture group [(74±15) min, (18±4) min, respectively] were significantly shorter than those in the localsuture group [(97±20)min, (33±7)min, respectively, P<0.05]. The intraoperative blood loss, red bloodcell suspension input, plasma input, and vaginal bleeding one day after operation in the cervical suturegroup[(769±88), (429±28), (112±21), (99±18)ml, respectively] were significantly less than those in the
local suture group[(925±104), (538±44), (190±44), (169±23)ml, respectively, all P<0.05]. There wasno significant difference in the cause or extent of cervical canal bleeding between the two groups (P>0.05).Eight weeks after operation, the incidence of abdominal infection and hysterectomy in the cervicalsuture group (3.12%, 0.00%, respectively) were significantly lower than those in the local suturegroup (9.37%, 12.50%, respectively, P<0.05), but there was no significant difference in the incidence
of sputum between the two groups (P>0.05). The total incidence of postoperative adverse reactions inthe cervical suture group(9.37%)was significantly lower than that in the local suture group (31.25%,P<0.05). Conclusion Cervical suture for cervical canal hemorrhage during placenta previacesarean section can significantly improve the patient's intraoperative situation with high safety and good prognosis, which is worthy of clinical promotion.
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Received: 17 December 2018
Published: 23 April 2020
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