Matsubara Shigeki, Kuwata Tomoyuki, Baba Yosuke, Usui Rie, Suzuki Hirotada, Takahashi Hironori, Ohkuchi Akihide, Suzuki Mitsuaki
Department of Obstetrics and Gynecology, Jichi Medical University, Tochigi, Japan.
Aust N Z J Obstet Gynaecol. 2014 Jun;54(3):283-6. doi: 10.1111/ajo.12184. Epub 2014 Feb 8.
Although massive haemorrhage at caesarean section (CS) for placenta praevia is a serious concern, effective treatment is not yet determined. We performed a new uterine sandwich to achieve haemostasis at CS for total placenta praevia in five consecutive cases in whom the placenta reached up to >5 cm from the internal cervical os in all directions of an uterine wall. A Matsubara-Yano (MY) uterine compression suture was placed, followed by placement of an intrauterine balloon. Haemostasis was achieved in all five cases with median blood loss of 1618 mL. No short-term adverse events were observed. The MY sandwich can be used to achieve haemostasis at CS for placenta praevia.
尽管前置胎盘剖宫产时大出血是一个严重问题，但尚未确定有效的治疗方法。我们对连续5例子宫壁各方向胎盘下缘距宫颈内口均>5 cm的完全性前置胎盘患者在剖宫产时实施了一种新的子宫三明治法以实现止血。先放置松原-矢野（MY）子宫压迫缝合术，随后放置宫内球囊。5例患者均实现止血，中位失血量为1618 mL。未观察到短期不良事件。MY三明治法可用于前置胎盘剖宫产时的止血。
