中文摘要：

目的探讨经阴道宫颈缝合并塞纱治疗难治性产后出血的临床疗效和安全性。方法选取2012年1月至2014年1月广州医科大学附属深圳沙井医院妇产科收治的经阴道分娩的产妇120例作为研究对象,患者均表现出经阴道分娩的产后出血的临床症状,之后依据随机数字表法分为试验组和对照组,每组60例,对照组接受常规处理方式,试验组接受经阴道宫颈缝合并塞纱的临床治疗方式。对比观察两组患者的临床疗效、出血情况以及术后并发症发生情况。结果试验组患者的临床治疗效果明显优于对照组（P〈0.05）,且治疗结束后30 min,平均出血量显著低于对照组[（112±38）m L比（127±26）m L,P〈0.05],且术后总并发症发生率也低于对照组（28.3%比1.6%,P〈0.01）。结论经阴道宫颈缝合并塞纱治疗难治性产后出血临床疗效较好,且操作简单,可最大限度地保留子宫及其功能,有效抑制并发症的发生,适宜临床推广。

英文摘要：

Objective To explore clinical effect sand safety of transvaginal cervical suture and plugging yarn therapy for intractable postpartum hemorrhage.Methods A total of 120 cases of vaginal delivery with the clinical symptoms of postpartum hemorrhage admitted in Shenzhen Shajing Affiliated Hospital of Guang-zhou Medical University from Jan.2012 to Jan.2014 were selected as research objects,and randomly divided into the experimental group and the control group,with 60 cases in each group.Patients in the control group received routine treatment,and patients in the experimental group underwent transvaginal cervical suture and plugging yarn treatment.The clinical curative effect,the bleeding condition and postoperative complications of the two groups were compared.Results The clinical curative effect of the experimental group was better than the control group,the average blood loss 30 minute after treatment of the experimental group was lower than control group[（112 ±38） mL vs （127 ±26） mL,P〈0.05],and the incidence of postoperative complica-tions of the experimental group was lower than the control group（28.3% vs 1.6%,P〈0.01）.Conclusion Transvaginal cervical suture and plugging yarn treatment have good clinical curative effect on postpartumhemorrhage,it is easily operated and can retain the uterus and its capabilities to the greatest extent,and effectivelyreduce adverse complications,therefore,it is worth for clinical promotion.