Habek Dubravko, Vranjes Maja, Bobić Vuković Mirna, Valetić Josip, Krcmar Vladimir, Simunac Jasna
Department of Obstetrics and Gynecology, General Hospital Sveti Duh, Zagreb, Croatia.
Fetal Diagn Ther. 2006;21(5):475-6. doi: 10.1159/000093892.
A case is presented of a successful term pregnancy in a 28-year-old secundipara after previous Misgav-Ladach cesarean section and B-Lynch compression suture on account of massive postpartal hemorrhage caused by uterine atony. On account of dystocia and relative cephalopelvic disproportion, secondary repeated cesarean section was performed; she gave birth to a live child 3,900 g/52 cm, Apgar score 9/10, with a regular neonatal course. During the repeated cesarean section, thin laces of connective tissue were found along the sutures placed on the uterus during the previous B-Lynch operation. Pelvic and intrauterine adhesions were not found.
本文报告一例28岁经产妇的足月妊娠成功案例。该产妇此前因子宫收缩乏力导致产后大出血，接受了米斯加夫-拉达赫剖宫产术及B-林奇压迫缝合术。由于难产及相对头盆不称，进行了二次重复剖宫产；她产下一名体重3900克、身长52厘米的活婴，阿氏评分9/10，新生儿病程正常。在重复剖宫产术中，在前次B-林奇手术时子宫上放置缝线处发现了薄的结缔组织带。未发现盆腔及子宫内粘连。
