Hwu Yuh-Ming, Chen Chie-Pein, Chen Hung-Sheng, Su Tsung-Hsien
Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan.
BJOG. 2005 Oct;112(10):1420-3. doi: 10.1111/j.1471-0528.2005.00666.x.
Fourteen women with placenta praevia (including one who also had placenta accreta) undergoing caesarean section had massive bleeding after removal of the placenta. In order to preserve the uterus, two parallel vertical compression sutures were placed in the lower segment to compress the anterior and posterior walls of the lower uterine segment. The haemorrhage from the lower segment stopped immediately after the knots were tightened. All women later resumed normal menstrual flow with no apparent complications. Two of the 14 women had a spontaneous pregnancy one to two years after the operation. This parallel vertical compression suturing technique is simple, easy and effective for controlling bleeding in women with placenta praevia or accreta. We suggest that this technique be tried first before other more complex procedures are undertaken.
14例前置胎盘（包括1例合并胎盘植入）行剖宫产术的产妇在胎盘娩出后发生大出血。为保留子宫，在子宫下段放置了两条平行的垂直压迫缝线，以压迫子宫下段的前壁和后壁。打结后，子宫下段的出血立即停止。所有产妇后来月经恢复正常，无明显并发症。14例产妇中有2例在术后1至2年自然受孕。这种平行垂直压迫缝合技术对于控制前置胎盘或胎盘植入产妇的出血简单、易行且有效。我们建议在采取其他更复杂的手术之前先尝试这种技术。
