子宫下段横形环状压迫缝合术治疗前置胎盘剖宫产后出血12例临床分析

Clinical Analysis of 12 Cases of Transverse Annular Compression Sutures in the Treatment of Bleeding Within the Lower Uterine Segment Due to Placenta Previa During Cesarean Section

目的评价子宫下段横形环状压迫缝合术(TACS)治疗前置胎盘剖宫产后出血的临床疗效。方法 2011年1月至2013年6月我院应用TACS治疗前置胎盘剖宫产后出血12例,回顾性分析该方法的有效性及远期影响。结果应用TACS治疗的12例患者均成功保留了子宫,其中有3例同时行了B-lynch缝合术,2例行了预防性子宫动脉上行支结扎术,2例同时行了"8"字缝合术。所有患者在随访期内均没有相关并发症的发生。结论 TACS是治疗前置胎盘子宫下段出血的一种简单快速安全有效的方法。

Objective To evaluate the clinical efficacy of transverse annular compression sutures （ TACS） in the treatment of bleeding within the lower uterine segment due to placenta previa during cesarean section. Methods TACS was applied among 12 patients with bleeding due to placenta previa during cesarean section from January 2011 to June 2013 in our hospital, Retrospective analysis of the effectiveness and long-term effects of this technique. Results The TACS was successful in avoiding hysterectomy among 12 patients, three patients with uterine atony were managed with B-Lynch suture, two patients were managed with bilateral ascending uterine arteries ligation, 8-shape suture was done in 2 cases besides TACS. No surgery related complications were noted at the follow-up examinations of 12 patients. Conclusion TACS is simple and effective surgical hemostasis way in the treatment of bleeding within the lower uterine segment due to placenta previa during cesarean section.