Department of Obstetrics and Gynecology, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
Taiwan J Obstet Gynecol. 2011 Jun;50(2):179-81. doi: 10.1016/j.tjog.2009.12.001.
The present study was planned to access the efficacy of Hayman uterine compression stitch which is easy, can be applied faster and avoids the performance of a lower segment hysterotomy in patients with atonic postpartum hemorrhage.
It is a study carried out from January 2004 to December 2008 at a tertiary care center and included 48 women who had intractable atonic PPH not managed with medical treatment and who were wishing to preserve their fertility. Hayman stitch which is a simplified approach to uterine compression sutures was performed by tying two parallel vertical sutures from just above the bladder reflection to the fundus of the uterus.
With Hayman stitch hysterectomy was avoided in 93.75% (45 out of the 48) patients with PPH. The postoperative course was uncomplicated, six women conceived spontaneously within 12 month after uterine compression suturing. Four delivered vaginally and two underwent cesarean section in view of fetal distress. The uterine cavity was found to be normal during caesarean section.
Two parallel vertical compression sutures (Hayman stitch) placed in the uterus controls bleeding effectively. The technique is easy, rapid and requires less skill and this simple procedure be tried first before other complex measures like uterine artery ligation are undertaken particularly for those obstetricians who lack sufficient training and skill.
本研究旨在评估海曼子宫压迫缝合术的疗效，该方法操作简便、应用迅速，可以避免对宫缩乏力性产后出血患者进行下段剖宫产术。
这是一项于 2004 年 1 月至 2008 年 12 月在一家三级保健中心进行的研究，纳入了 48 名因药物治疗无效且希望保留生育能力的宫缩乏力性难治性产后出血患者。海曼缝合术是一种简化的子宫压迫缝合术，通过在膀胱反射上方至子宫底部缝合两条平行的垂直缝线来实施。
海曼缝合术避免了 48 例产后出血患者中的 93.75%（45 例）行子宫切除术。术后过程无并发症，6 名妇女在子宫压迫缝合术后 12 个月内自然受孕。4 名经阴道分娩，2 名因胎儿窘迫行剖宫产术。在剖宫产术中发现子宫腔正常。
在子宫内放置两条平行的垂直压迫缝线（海曼缝合术）可有效控制出血。该技术操作简便、迅速，所需技能较少，对于那些缺乏足够培训和技能的产科医生来说，这种简单的操作应在尝试其他复杂措施（如子宫动脉结扎术）之前首先尝试。
