不同子宫加压缝合术治疗产后出血

Uterine Compression Suture Techniques for Postpartum Hemorrhage:An Overview

产后出血是全球范围内围产期进行紧急子宫切除的主要原因。自1997年B-Lynch率先使用子宫加压缝合术取代子宫切除术治疗产后出血并取得成功后,临床医生研发了各种加压缝合术以治疗产后出血并保留妇女的生育力,其有效性亦在临床案例中得以证实。关于何时采用何种缝合术成功率更高,并发症更少,目前尚无证据。本文对几种常见加压缝合术的操作步骤、成功率、优势及并发症进行了综述,旨在指导临床实践。

Postpartum hemorrhage(PPH)is a major cause of emergency hysterectomy during the perinatal period in the worldwide.Since the successful application of B-Lynch surgical technique of uterine compression suture instead of hysterectomy in 1997,clinicians have developed several compression sutures to treat PPH and preserve women's fertility,and its effectiveness has also been confirmed in clinic cases and relevant literatures.But there is no evidence on when and which of the compression suture technique used can achieve a higher success rate and fewer complications for PPH.This article reviews the surgical procedures,success rate,advantages and complications of several common suture procedures,and to guide clinical practice.