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| Compressive suture in the lower uterine segment treating intraoperative hemorrhage with placenta previa in cesarean section |
| QIAN Min, DING Fulyu. ZHANG Shengyan, LIU Zhengjie,WEN Haiyan. |
Department of Obstetrics, Maternal and Child Health Hospital of Ruian, Wenzhou, 325200
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Abstract Objective: To evaluate the clinical application value of suture the lower uterine segment for placenta previa cesarean section hemorrhage. Methods: Forty cases of intraoperative hemorrhage with placenta previa were to meet the study selected in our department from September 2012 to May 2014. All cases were randomly divided into two groups: 20 cases were chosen as the observation group for suture the lower uterine segment. Twenty cases were chosen as the control group for ascending branch of uterine artery ligation. Blood loss, surgical duration, postoperative duration of hospital, puerperal infection, hysterectomy rates were compared. Results: ①There were difference about blood loss volume and volume of blood transfusion in two groups (P<0.05). No ststistical difference was found between the groups in transfusion rate (P>0.05). ②There was difference about surgical duration in two groups (P<0.05). ③There was significant differences about postoperative duration of hospital in two groups (P<0.01). ④Three cases with postpartum hemorrhage of refractoriness were performed subtotal hysterectomy in the control group. Both of the two group did not appear the puerperal infection and maternal death. At the postpartum follow-up, all women described normal lochia and involution of uterus was found in pelvic examination. All women referred resumption of normal periods. No complained of painful in the pelvis. Conclusion: The method of suture of the lower uterine segment is effective technique for treating cesarean section hemorrhage of placenta previa. It has the benefits of the easy operation, rapidly mastering, quick hemostatic, low transfusion, reducing postoperative duration of hospital stay and the preservation of uterus. It is worthy of clinical promotion.
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Received: 15 September 2015
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[1] 彭文, 王谢桐. 宫颈缝扎术在前置胎盘处理中的地位[J].中国实用妇科与产科杂志, 2011, 27(6): 413-416.
[2] 王蕴慧. 中期妊娠引产胎盘前置的处理[J]. 中国实用妇科与产科杂志, 2012, 28(9): 663-666.
[3] 谢幸, 苟文丽. 妇产科学[M]. 8版. 北京: 人民卫生出版社, 2013: 126-127.
[4] 刘兴会, 姚强. 凶险型前置胎盘的诊断及处理[J]. 中国实用妇科与产科杂志, 2011, 27(2): 85-89.
[5] 傅秀娟, 周勇, 金杭美. 辅助生育中子宫内膜异位症与前置胎盘的相关性[J]. 温州医科大学学报, 2015, 45(3): 197-200.
[6] 包怡榕, 应豪, 黄一颖, 等. 子宫下段横行环状压迫缝合术治疗中央性前置胎盘剖宫产后出血[J]. 国际妇产科学杂志, 2011, 38(5): 436-438.
[7] 徐春玲. 子宫压迫缝合术与纱布填塞治疗剖宫产术中大出血疗效比较[J]. 中国民族民间医药杂志, 2011, 20(22): 76, 78.
[8] 应豪. 子宫压迫缝合术: 过去、现在和将来[J]. 国际妇产科学杂志, 2011, 38(5): 373-377.
[9] PENOTTI M, VERCELLINI P, BOLIS G, et al. Compressive suture of the lower uterine segment for the treatment of postpartum hemorrhage due to complete placenta previa: a preliminary study[J]. Gynecol Obstet Invest, 2012, 73(4):314-320.
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