Stein W, Hawighorst T, Emons G
Zentrum für Frauenheilkunde der Georg-August-Universität Göttingen.
Z Geburtshilfe Neonatol. 2008 Feb;212(1):18-21. doi: 10.1055/s-2008-1004687.
Postpartum haemorrhage is an important cause of maternal mortality. After failure of medical treatment, the application of uterine compressive sutures as described by Pereira to treat postpartum bleeding is an alternative to hysterectomy.
The uterus is compressed by multiple, superficially inserted sutures which are applied transversally and longitudinally around the uterus. Additionally the vascular flow is reduced.
Five women underwent a Caesarean section and, in spite of treatment with oxytocin and sulprostone developed severe postpartum haemorrhage. Compression sutures of the uterus as described by Pereira were successful in all cases. The follow-up was uneventful in all cases.
Compressive sutures of the uterus as described by Pereira are easy and quick to perform for treating uterine atony with postpartum bleeding.
产后出血是孕产妇死亡的重要原因。药物治疗失败后，应用佩雷拉所描述的子宫压迫缝合术治疗产后出血是子宫切除术的一种替代方法。
通过在子宫周围横向和纵向浅表插入多根缝线来压迫子宫。此外，还减少了血管血流。
五名妇女接受了剖宫产，尽管使用了缩宫素和硫前列酮治疗，但仍发生了严重的产后出血。佩雷拉所描述的子宫压迫缝合术在所有病例中均获成功。所有病例的随访均无异常。
佩雷拉所描述的子宫压迫缝合术操作简便、快捷，可用于治疗子宫收缩乏力性产后出血。
