Comparison of the application effects of cervical-lifting suture versus uterine balloon tamponade in intractable postpartum hemorrhage

TANG Mei; GUO Yu; WANG Hong-juan

doi:10.11659/jjssx.03E025098

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Comparison of the application effects of cervical-lifting suture versus uterine balloon tamponade in intractable postpartum hemorrhage

Clinical Research | 更新时间：2026-01-19

- Comparison of the application effects of cervical-lifting suture versus uterine balloon tamponade in intractable postpartum hemorrhage
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 35, Issue 1, Pages: 76-79(2026)
- 作者机构：
  
  河北燕达医院产科，河北三河 065201
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.03E025098
  CLC： R714.46+1
- Received：17 March 2025，
  
  Published：25 January 2026
- 稿件说明：
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唐梅,郭煜,王洪娟.宫颈提拉缝合术与球囊压迫宫腔止血术在难治性产后出血中的应用效果对比[J].局解手术学杂志,2026,35(01):76-79.

TANG Mei,GUO Yu,WANG Hong-juan.Comparison of the application effects of cervical-lifting suture versus uterine balloon tamponade in intractable postpartum hemorrhage[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(01):76-79.
唐梅,郭煜,王洪娟.宫颈提拉缝合术与球囊压迫宫腔止血术在难治性产后出血中的应用效果对比[J].局解手术学杂志,2026,35(01):76-79. DOI： 10.11659/jjssx.03E025098.

TANG Mei,GUO Yu,WANG Hong-juan.Comparison of the application effects of cervical-lifting suture versus uterine balloon tamponade in intractable postpartum hemorrhage[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(01):76-79. DOI： 10.11659/jjssx.03E025098.

摘要

目的

比较宫颈提拉缝合术与球囊压迫宫腔止血术在难治性产后出血（PPH）患者中的应用效果。

方法

回顾性分析2021年1月至2023年12月在我院发生难治性PPH的117例患者的临床资料，按照止血方案将患者分为对照组（59例，采用球囊压迫宫腔止血术）和观察组（58例，采用宫颈提拉缝合术）。比较2组患者术中及术后一般情况，术后2 h、12 h、24 h的出血量，止血效果，术后疼痛情况，术后舒适度及产后42 d卵巢功能。

结果

2组患者手术时间、输血情况、恶露持续时间、产褥感染情况比较，差异均无统计学意义（

0.05）；观察组患者术中出血量和恶露量均少于对照组（

0.05）。2组患者术后出血量在时间效应、组间效应、时间与组间交互效应上比较，差异均有统计学意义（

0.05）；观察组患者术后2 h、12 h、24 h出血量均少于对照组（

0.05）。观察组患者止血有效率为94.83%，高于对照组的81.36%（

0.05）。观察组患者术后疼痛评分低于对照组，舒适度评分高于对照组（

0.05）。2组患者产后42 d卵巢功能恢复指标比较差异无统计学意义（

0.05）。

结论

与球囊压迫宫腔止血术比较，宫颈提拉缝合术在难治性PPH患者中的止血效果更好，能够减少术中、术后出血量和恶露量，提高术后舒适度，减轻术后疼痛感，应用效果更好。

Abstract

Objective

To compare the application effects of cervical-lifting suture versus uterine balloon tamponade in patients with intractable postpartum hemorrhage （PPH）.

Methods

A retrospective analysis was conducted on the clinical data of 117 patients with intractable PPH in our hospital from January 2021 to December 2023. The patients were categorized into the control group （59 cases，received uterine balloon tamponade） and the observation group （58 cases，received cervical-lifting suture） according to the hemostasis plan.The general conditions during and after surgery，the bleeding volume 2 hours，12 hours，and 24 hours after surgery，hemostatic effect，postoperative pain，postoperative comfort，and ovarian function at 42 days postpartum were compared between the two groups.

Results

No statistically significant difference was observed between the observation group and the control group in terms of surgical time，blood transfusion，duration of lochia，or postpartum infection （

0.05）. The bleeding volume and lochia volume after surgery in the observation group were less than those in the control group （

0.05）. There were significant main effects of time and group，as well

as a significant time-by-group interaction on the postoperative bleeding volume in the two groups（

0.05）.The postoperative bleeding volumes of the observation group 2 hours，12 hours，and 24 hours after surgery were less than those of the control group （

0.05）. The hemostasis success rate of the observation group （94.83%） was higher than that of the control group （81.36%），with statistically significant difference （

0.05）. The observation group showed decreased postoperative pain score and increased comfort score compared to the control group （

0.05）. No statistically significant difference was found in the recovery indicators of ovarian function at 42 days postpartum between patients in the two groups （

0.05）.

Conclusion

Compared to uterine balloon tamponade，cervical-lifting suture demonstrates superior hemostatic efficacy for intractable PPH. It is associated with reduced intra- and post-operative bleeding，decreased lochia volume，lower postoperative pain，and improved patient comfort.

关键词

Keywords

references

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