子宫压迫缝合术作为产后出血的有效治疗方法：病例系列
Uterine compression sutures as an effective treatment for postpartum hemorrhage: case series.
作者信息
Al Riyami Nihal, Hui Dini, Herer Elaine, Nevo Ori
机构信息
Department of Obstetrics and Gynecology, Sunnybrook, Health Sciences Centre, University of Toronto, Toronto, Canada ; Division of Maternal-Fetal Medicine, Sunnybrook, Health Sciences Centre, University of Toronto, Toronto, Canada.
出版信息
AJP Rep. 2011 Sep;1(1):47-52. doi: 10.1055/s-0031-1280570. Epub 2011 Jun 9.
We evaluated the role of uterine compression sutures as a conservative treatment for postpartum hemorrhage (PPH) after failed medical treatment. We retrospectively reviewed the charts of all patients who delivered between 2003 and 2009 at a single tertiary care center and who underwent uterine compression sutures for PPH. Twelve women had uterine compression sutures for PPH. The mean age of the patients was 36.3 ± 5.2 years. The mean gestational age at delivery was 37.7 ± 2.0 weeks, and the average estimated blood loss was 2.1 ± 1.1 L. The mean procedure time to perform the uterine compression sutures was 9.3 ± 2.8 minutes. The success rate of compression sutures was 92% with only one failure resulting in a hysterectomy. Uterine compression sutures are an effective method for the treatment of PPH, thus avoiding hysterectomy and preserving potential fertility.
我们评估了子宫压迫缝合术作为药物治疗失败后产后出血（PPH）保守治疗方法的作用。我们回顾性分析了2003年至2009年间在一家三级医疗中心分娩且因PPH接受子宫压迫缝合术的所有患者的病历。12名女性因PPH接受了子宫压迫缝合术。患者的平均年龄为36.3±5.2岁。分娩时的平均孕周为37.7±2.0周，平均估计失血量为2.1±1.1升。进行子宫压迫缝合术的平均手术时间为9.3±2.8分钟。压迫缝合术的成功率为92%，仅1例失败，最终进行了子宫切除术。子宫压迫缝合术是治疗PPH的有效方法，可避免子宫切除术并保留生育能力。
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