前置胎盘剖宫产时环形间断缝合止血方法的探讨

Discussion of interrupted circular suture during caesarean section with placenta previa

目的 探讨环形间断缝合在前置胎盘剖宫产术时出血的止血效果。方法 对 54例前置胎盘剖宫产术病例进行总结。结果 用环形间断缝合方法止血的 9例病人手术时间少于子宫切除组 (P <0 0 5) ,出血及输血少于子宫切除组 ,但无统计学差异 (P >0 0 5) ,成功止血 ,保留子宫 ,且未发生术后合并症。结论 环形间断缝合术是前置胎盘胎盘剥离面引起出血的有效止血方法之一。

Objective To discuss the value of interrupted circular suture in hemostasis of placenta previa during cesarean section.Methods We summarized 54 caesarean section patients with placenta previa.Results The hemostasis was succeeded in all of the 9 patients and uterus was retained without postpartum complications. The duration of operation was obviously shorter than that of hysterectomy(P<0 05). Bleeding and blood transfusion were less than that of hysterectomy, but without statistical difference(P>0 05).Conclusion Interrupted circular suture is one of the efficient methods in controlling postpartum bleeding during caesarean section with placenta previa.