Department of Obstetrics and Gynecology, S. João Hospital, Porto, Portugal.
Acta Obstet Gynecol Scand. 2011 Jul;90(7):701-6. doi: 10.1111/j.1600-0412.2011.01137.x. Epub 2011 May 20.
Postpartum hemorrhage due to uterine atony continues to be one of the major causes of maternal morbidity and mortality. Several uterine compression suture techniques have been described and are increasingly being used worldwide as a conservative approach. However, little is known about the long-term effects on the uterine cavity, as well as fertility and pregnancy outcomes. We reviewed the reported complications and uterine findings after the use of compression sutures, both in examinations to evaluate the cavity (hysteroscopy, hysterosalpingography or sonohysterography) and at cesarean section, in order to assess the possible usefulness of routine postoperative cavity evaluation. Overall, the use of uterine compression sutures is effective and safe; however, some severe and potentially life-threatening complications have been reported and could possibly have been prevented if uterine cavity evaluation had been performed. Routine follow-up, both by hysteroscopy and an imaging technique, seems worthwhile.
产后子宫收缩乏力引起的出血仍然是产妇发病率和死亡率的主要原因之一。已经描述了几种子宫压迫缝合技术，并且作为一种保守方法，在世界范围内越来越多地被使用。然而，对于这些技术对子宫腔的长期影响，以及对生育和妊娠结局的影响，知之甚少。我们回顾了使用压迫缝合后在宫腔检查（宫腔镜检查、子宫输卵管造影或超声子宫造影）和剖宫产时报道的并发症和子宫发现，以评估常规术后宫腔评估的可能有用性。总体而言，子宫压迫缝合术是有效且安全的；然而，已经报道了一些严重且潜在危及生命的并发症，如果进行子宫腔评估，这些并发症可能是可以预防的。常规随访，包括宫腔镜检查和影像学检查，似乎是有价值的。
