漏斗加压缝合术应用于子宫下段出血10例报道并文献复习

A report of the lower uterine segment bleeding in 10 cases treated with funnel compression suture,and the literature review

目的:探讨漏斗加压缝合术针对子宫下段出血的应用价值。方法:10例因胎盘因素剖宫产时发生子宫下段出血病人,10例病人均经给予促子宫收缩药物、手法按摩、局部压迫及缝合等保守性方法处理无好转后采用漏斗加压缝合术,观察该术式对子宫下段出血的止血效果、安全性以及可行性,有无近远期并发症。结果:经采用漏斗加压缝合后10例病人子宫下段出血均明显好转,并于2~10 min内停止出血,9例病人术后无其他辅助止血措施,1例病人加用子宫动脉栓塞术,10例病人均成功止血并保留了子宫,术后随访无并发症发生。结论:对于子宫下段出血病人经保守性处理无效后,可尽早采用漏斗加压缝合术,其方法安全有效、简便易行,无近远期并发症发生,作为子宫下段出血止血方法有一定推广利用价值。

Objective:To explore the application value of funnel compression suture in the treatment of the lower uterine segment(LUS)bleeding.Methods:Ten cases with LUS bleeding caused by placental factors were treated with uterine contractions drug,massage,local compression and suture.The hemostatic effect,safety and feasibility of operation,and short-term and long-term complications in LUS bleeding patients were observed.Results:After suturing,the bleeding of LUS in 10 cases was improved,and the bleeding stopped within 2 to 10 min.There was not other auxiliary hemostasis measures in 9 patients,one patient was treated with uterine artery embolization,and the successful hemostasis and uterus preservation in 10 patients were idnetified.No complications occurred during postoperative following-up.Conclusions:When the conservative treatment in patients with lus bleeding is ineffective,the funnel compression suture can be used as early as possible.The method is safe,effective,simple and easy to operate and has no short-term and long-term complications.The funnel compression suture has a certain value of popularization and utilization as a hemostasis method for lus bleeding.