子宫横形捆绑用于凶险性前置胎盘术中出血的临床研究

The clinical study of transverse binding suture in pernicious placenta previa hemorrhage at cesarean delivery

目的探讨子宫横形捆绑在凶险性前置胎盘术中止血的有效性和安全性。方法回顾分析2016年9月至2018年3月暨南大学医学院附属深圳市宝安区妇幼保健院凶险性前置胎盘术中采用子宫横形捆绑止血的22例病例,分析术中、术后2 h、术后24 h出血量以及术后平均住院天数、术后并发症、随访情况。结果凶险性前置胎盘术中采用子宫横形捆绑术均达到有效止血,无一例切除子宫及产妇死亡病例,术后2 h平均出血量(60.2±7.5)m L、术后24 h平均出血量(139.6±13.2)mL,术后平均住院天数为(5.7±3.1)d,随访暂未发现并发症,暂无再次妊娠病例。结论子宫横形捆绑术是一种有效安全的治疗凶险性前置胎盘术中出血的方法,本方法操作易行,并发症少,在各层医院值得临床应用。

Objective To evaluate the safety and efficacy of transverse binging suture in pernicious placenta previa hemorrhage at cesarean delivery.Methods Twenty-two women with pernicious placenta previa hemorrhage at cesarean delivery treated with transverse binding suture in Bao’an Maternity and Child Healthcare Hospital Affiliated to Jinan University School of Medicine from September 2016 to March 2018 were analyzed retrospectively.The intraoperative,postoperative 2-hour amounts of hemorrhage and postoperative 24-hour amounts of hemorrhage,average of hospitalization times,hemostatic effects and recovery conditions were analysis.Results The transverse binding suture could achieve effective hemostasis without hysterectomy and maternal death.Postoperative 2-hour amounts of hemorrhage was(60.2±7.5)mL,postoperative 24-hour amounts of hemorrhage was(139.6±13.2)mL;the average of hospitalization times was(5.7±3.1)d.During our follow-up period,subsequent pregnancy and complication were not found.Conclusion Transverse binding suture was an effective and safe surgical treatment of pernicious placenta previa hemorrhage at cesarean delivery,and it had the advantages of easy operating and less complications.