Department of Obstetrics, People's Liberation Army 174th Hospital, Xiamen, Fujian, China.
BJOG. 2011 Feb;118(3):370-4. doi: 10.1111/j.1471-0528.2010.02809.x. Epub 2010 Dec 23.
Postpartum haemorrhage (PPH) is a major cause of worldwide maternal mortality and is still associated with significant morbidity. After the B-Lynch suture was reported in 1997, several different uterine compression sutures were found to be successful in controlling PPH. In this paper, we describe another simple variation of the uterine compression suture technique, which was performed without an incision in the uterine wall, without entering the uterine cavity and without suturing the anterior and posterior walls of the uterus together, so minimising the trauma to the uterus. This new uterine compression suture is an effective and safe surgical treatment for PPH caused by atony. It has the potential to apply to intractable PPH after vaginal delivery.
产后出血(PPH)是全球范围内导致产妇死亡的主要原因,并且仍然与严重的发病率相关。1997 年报道了 B-Lynch 缝合术之后,人们发现几种不同的子宫压迫缝合术在控制 PPH 方面都很成功。本文介绍了另一种简单的子宫压迫缝合技术的变化,该技术无需在子宫壁上切口,无需进入子宫腔,也无需将子宫前壁和后壁缝合在一起,从而使子宫的创伤最小化。这种新的子宫压迫缝合术是治疗宫缩乏力引起的 PPH 的有效且安全的手术方法。它有可能适用于阴道分娩后难治性 PPH。