Zheng子宫压迫缝合术救治产后出血的应用

Application of Zheng uterine compression suture in rescue of postpartum hemorrhage

目的：探讨Zheng子宫压迫缝合术救治产后出血的临床实用价值。方法：回顾分析该院产科2006年10月~2012年9月应用子宫压迫缝合术救治难治性产后出血的50例产妇,按缝合方法不同分为两组,应用Zheng子宫压迫缝合术27例,B-Lynch缝合术23例,比较两组的术中、术后出血量、止血效果、住院天数及术后恢复情况。结果：1Zheng组止血有效率96%,B-Lynch组为78%,两组比较差异有统计学意义（P〈0.05）。2两组的术中、术后2 h出血量及住院天数差异有统计学意义（P〈0.05）。3Zheng组术后无并发症发生,B-Lynch组有1例发生子宫粘连。结论：Zheng子宫压迫缝合术是产后出血安全有效的外科治疗方法,而且对子宫损伤小,并发症少,值得临床进一步推广。

Objective： To explore the clinical practical value of Zheng uterine compression suture in rescue of postpartum hemorrhage. Methods： Fifty lying - in women with intractable postpartum hemorrhage treated with uterine compression suture in obstetrical department of the hospital from October 2006 to September 2012 were analyzed retrospectively, then the lying - in women were divided into Zheng group （ including 27 lying - in women treated with Zheng uterine compression suture） and B - Lynch group （ including 23 lying - in women treated with B - Lynch suture） ; the intraoperative and postoperative amounts of hemorrhage, hemostatic effects, hospitalization times and recovery conditions in the two groups were compared. Results ： The hemostatic effective rates in Zheng group and B - Lynch group were 96% and 78% , respectively, there was statistically significant difference between the two groups （ P 〈 0. 05 ） . There were statistically significant differences in the intraoperative and postoperative 2 - hour amounts of hemorrhage and hospitalization time between the two groups （ P 〈 0.05 ） . No complication occurred in Zheng group, one lying - in woman with uterine adhesion was found in B - Lynch group. Conclusion： Zheng uterine compression suture is a safe and effective surgical treatment of postpartum hemorrhage, and it has the advantages of little injury to uteri and less complications, which is worth further popularizing in clinic.