CAJ | 학술논문

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。
목적：탐토자궁하단배형봉찰술재치료부궁산술중인전치태반도치산후출혈적유효성화안전성。방법대2011년1월지2013년1월아원21례부궁산술중인전치태반도치산후출혈재상규약물치료급국부창면봉합무효후채용자궁하단배형봉찰술치료,관찰지혈효과급안전성。결과20례지혈유효,1례실패개용전자궁절제술,유효솔체95.2%。20례무병발증발생,수방월경균회복정상,B초복사자궁쌍부건미견이상。결론자궁하단배형봉찰술지혈유효、조작간단、신속、능보류생육공능,대전치태반도치적자궁하단출혈우위괄용,시일충유효적보수성외과지혈방법。
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 haemorrhage in the lower uterine segment caused by placenta previa.