子宫下段环形缝扎术治疗前置胎盘致剖宫产后出血  

Transverse compression suture in lower uterine segment to control postpartum hemorrhage at cesarean delivery for placenta previa

作　　者：彭珠芸[1] 俞丽丽[1] 韩建[1] 肖凤莲[1] 王全民[1] 普小芸[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：《局解手术学杂志》2014年第1期9-11,共3页Journal of Regional Anatomy and Operative Surgery

基　　金：国家自然科学基金项目(81070505)

摘　　要：目的探讨子宫下段环形缝扎术在治疗剖宫产术中因前置胎盘导致产后出血的有效性和安全性。方法对2011年1月至2013年1月我院21例剖宫产术中因前置胎盘导致产后出血在常规药物治疗及局部创面缝合无效后采用子宫下段环形缝扎术治疗,观察止血效果及安全性。结果 20例止血有效,1例失败改用全子宫切除术,有效率达95.2%。20例无并发症发生,随访月经均恢复正常,B超复查子宫双附件未见异常。结论子宫下段环形缝扎术止血有效、操作简单、迅速、能保留生育功能,对前置胎盘导致的子宫下段出血尤为适用,是一种有效的保守性外科止血方法。Objective To study the efficacy and safety of transverse compression suture in the lower uterine segment for the control of postpartum haemorrhage in cesarean section caused by placenta previa. Methods From Jan 2011 to Jan 2013, 21 patients with postpartum haemorrhage in cesarean section due to placenta previa were given transverse compression suture in the lower uterine segment after routine medical treatment. And the hemostatic efficacy and safety were observed. Results 20 cases of the vaginal bleeding were controlled efficient- ly, with an efficiency of 95.2%. There was no complication occurred, and menstruation were back to normal during the follow-up, and there was nothing abnormal in the uterine double accessories through B ultrasound reexamination. Conclusion Transverse compression suture in the lower uterine segment is an easy, safe and highly effective surgical technique, it is especially suitable for the control of haemorrbage in the lower uterine segment caused by placenta previa.

关 键 词：产后出血 子宫下段环形缝合术 剖宫产术 前置胎盘 

分 类 号：R714.461[医药卫生—妇产科学]