郑红霞

【摘要】 目的：研究子宫动脉上行支结扎在剖宫产术中止血中的应用效果及对卵巢功能的影响。方法：选取本院2017年1月-2019年8月的80例剖宫产术中出血患者为研究对象。将其根据治疗方法的不同分为对照组（常规止血组）40例和观察组（子宫动脉上行支结扎组）40例。比较两组产后不同时间的出血量、子宫体积、恶露消失时间、并发症发生情况、术后不同时间的卵巢血流指标及性激素水平。结果：观察组产后2、12、24 h的出血量均显著少于对照组，差異均有统计学意义（P<0.05）。观察组产后1、4、6周的子宫体积均显著小于对照组，差异均有统计学意义（P<0.05）。观察组的恶露消失时间显著短于对照组，差异有统计学意义（P<0.05）。观察组的并发症发生率显著低于对照组，差异有统计学意义（P<0.05）。术后4、8、12、24周，两组的RI、PI、PSV、E2、FSH、LH比较，差异均无统计学意义（P>0.05）。结论：子宫动脉上行支结扎在剖宫产术中止血中的应用效果较好，且未对卵巢功能造成明显不良影响，因此在本类患者中的应用价值较高。

【关键词】 子宫动脉上行支结扎 剖宫产 止血 应用效果 卵巢功能

Study on the Application Effect of Ligation of Ascending Branch of Uterine Artery in the Hemostasis During Cesarean Section and Influence for Ovarian Function/ZHENG Hongxia. //Medical Innovation of China， 2021， 18（01）： 0-057

[Abstract] Objective： To study the application effect of ligation of ascending branch of uterine artery in the hemostasis during cesarean section and influence for ovarian function. Method： A total of 80 patients with hemorrhage during cesarean section in our hospital from January 2017 to August 2019 were selected as the research objects. They were divided into control group （routine hemostasis group） 40 cases and observation group （ligation of ascending branch of uterine artery group） 40 cases according to the differences of treatment methods. Then the blood loss at different time after delivery， uterine volume， disappearance time of lochia， occurrence of complications， ovarian blood flow indexes and sex hormone levels at different time after the operation of two groups were compared. Result： The blood loss in the observation group at 2， 12 and 24 h after delivery were significantly lower than those in the control group， the differences were statistically significant （P<0.05）. The uterine volume of the observation group at 1， 4 and 6 weeks postpartum were significantly smaller than those of the control group， with statistically significant differences （P<0.05）. The disappearance time of lochia in the observation group was significantly shorter than that in the control group， the difference was statistically significant （P<0.05）. The complication rate of the observation group was significantly lower than that of the control group， the difference was statistically significant （P<0.05）. At 4， 8， 12， and 24 weeks after surgery， there were no statistically significant differences in RI， PI， PSV， E2， FSH， and LH between the two groups （P>0.05）. Conclusion： The application effect of uterine artery ascending branch ligation in hemostasis during cesarean section is good， and it has no obvious adverse effect on ovarian function. Therefore， it is of high application value in this category of patients.

[Key words] Ligation of ascending branch of uterine artery Cesarean section Hemostasis Application effect Ovarian function

First-authors address： Jiamusi Maternal and Child Health Hospital， Jiamusi 154000， China

doi：10.3969/j.issn.1674-4985.2021.01.014

剖宫产术中出血的控制是本类患者手术的重点，而不同止血方法的效果差异突出，另外有研究认为，部分治疗方式可对卵巢功能状态造成一定不良影响，进而导致多类不良情况的发生[1-2]，因此在对本类患者进行止血治疗方式的选取过程中，卵巢功能相关指标中的卵巢血流及性激素的变化监测意义较高[3-4]。本研究就子宫动脉上行支结扎在剖宫产术中止血中的应用效果及对卵巢功能的影响进行研究与观察，以了解子宫动脉上行支结扎在本类患者中的应用价值，现报道如下。

1 资料与方法

1.1 一般资料 选取本院2017年1月-2019年8月80例剖宫产术中出血患者为研究对象。纳入标准：20岁及以上者;剖宫产者。……