背包式缝合技术治疗剖宫产术中宫缩乏力性产后大出血(附11例临床分析)  

Knapsack's Surgical Technique of Uterine Compression Suture for the Control of Postpartum Haemorrhage in Cesarean Section

作　　者：俞丽丽[1] 彭珠芸[1] 胡翠芳[1] 余欣梅[1] 王全民[1] 李力[1] 郑英如[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所妇产科,重庆400042

出　　处：《中国现代手术学杂志》2011年第6期470-473,共4页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨一种新的子宫压迫缝合技术(uterine compression suture)背包式缝合技术在治疗剖宫产术中宫缩乏力性产后出血的有效性和安全性。方法背包式缝合技术是一种将垂直缝合技术和环形缝扎技术巧妙结合起来的一种新型子宫压迫缝合技术。对2010年3月至2011年3月我院11例剖宫产术中因子宫收缩乏力致产后出血在常规药物治疗无效后采用背包式缝合技术治疗,观察止血效果及安全性。结果 10例止血有效,有效率达90.91%,1例失败改用双侧子宫动脉及髂内动脉栓塞术。11例随访月经均恢复正常,B超复查子宫双附件未见异常,无并发症发生。结论该种子宫压迫缝合术将子宫压迫得更完全,止血更有效,操作简单、迅速、安全,能保留子宫和生育功能,是一种有效的保守性的外科止血方法。Objective To study the efficacy and safety of Knapsack＇s surgical technique of uterine compression suture for the control of postpartum haemorrhage in cesarean section due to uterine inertia.Method The Knapsack＇s surgical technique was used in 11 patients with postpartum haemorrhage in cesarean section due to uterine inertia not responding to routine drug management.Results The vaginal bleeding of 10 cases was controlled efficiently.One patient failed and the bilateral aterineartery and internal iliac artery embolization were used insteadly.The efficiency rate was 90.91%（10/11）.No complication occurred.Conclusion It is a highly effective and safe conservative surgical technique of the Knapsack＇s surgical method with advantages of easy operation,quick haemostasis and reservation of the uterus and procreation.

关 键 词：产后出血 止血 手术 宫缩乏力 剖宫产术 

分 类 号：R714.461[医药卫生—妇产科学]