Hackethal A, Brueggmann D, Oehmke F, Tinneberg H-R, Zygmunt M T, Muenstedt K
Department of Obstetrics and Gynecology, Justus-Liebig-University of Giessen, Klinikstrasse 32, 35385 Giessen, Germany.
Hum Reprod. 2008 Jan;23(1):74-9. doi: 10.1093/humrep/dem364. Epub 2007 Nov 17.
Transmural uterine compression suturing methods are a fertility-preserving alternative in patients with atonic primary postpartum hemorrhage (PPPH), which does not respond to manual compression or drugs. This study evaluated the effectiveness of a modified U-suturing technique in effecting uterine compression in patients with PPPH after Cesarean section.
U-suture uterine compression was introduced at our hospital at the beginning of 2005. The medical records of patients with PPPH after Cesarean section who had undergone this treatment, and results of a follow-up and questionnaire were evaluated and our experience with this method was reviewed.
Between January 2005 and September 2007, seven patients underwent uterine compression with U-sutures after PPPH. In all cases, treatment was successful, the hemorrhage was controlled and the uterus preserved. Normal menstruation patterns returned in the five patients who returned the questionnaire and no surgery related morbidities were noted at the follow-up examinations of six patients. The technique was simple to perform in an emergency situation.
Uterine compression with U-sutures is a highly effective and straightforward emergency procedure which conserves the uterus in these patients.
对于原发性宫缩乏力性产后出血（PPPH）且对手法压迫或药物治疗无效的患者，经壁子宫压迫缝合术是一种保留生育功能的替代方法。本研究评估改良U形缝合技术对剖宫产术后PPPH患者进行子宫压迫的有效性。
我院于2005年初开始采用U形缝合子宫压迫术。对接受该治疗的剖宫产术后PPPH患者的病历、随访结果及问卷调查结果进行评估，并回顾我们使用该方法的经验。
2005年1月至2007年9月，7例患者在PPPH后接受了U形缝合子宫压迫术。所有病例治疗均成功，出血得到控制，子宫得以保留。5例回复问卷的患者月经模式恢复正常，6例患者的随访检查未发现与手术相关的并发症。该技术在紧急情况下操作简单。
U形缝合子宫压迫术是一种高效、直接的紧急手术，可在这些患者中保留子宫。
