Department of Obstetrics and Gynaecology, China Meitan General Hospital, Beijing, China.
Wangjing Hospital, China Academy of Chinese Medical Science, Beijing, China.
BJOG. 2016 Jul;123(8):1380-5. doi: 10.1111/1471-0528.13685. Epub 2015 Oct 5.
Bleeding from the lower uterine segment (LUS) during caesarean section remains a life-threatening obstetric problem, particularly in women with placenta praevia or partial placenta accreta in the LUS. Various conservative measures for the surgical treatment of postpartum haemorrhage have been studied for decades. In this paper we describe a funnel compression suture to staunch intractable bleeding from LUS for placenta praevia accreta. The suture brings the anterior and posterior walls of the LUS together using absorbable thread and was successful in the overwhelming majority of women. It is an easy, safe and effective conservative surgical treatment to stop severe bleeding of the LUS.
剖宫产术中下段（LUS）出血仍然是一种危及生命的产科问题，尤其是在 LUS 有前置胎盘或部分胎盘粘连的妇女中。几十年来，人们一直在研究各种用于治疗产后出血的保守手术措施。本文介绍了一种漏斗压迫缝合术，用于治疗前置胎盘粘连导致的难治性 LUS 出血。该缝合术使用可吸收缝线将 LUS 的前壁和后壁拉拢在一起，绝大多数女性都取得了成功。这是一种简单、安全、有效的保守性手术治疗方法，可用于制止 LUS 的严重出血。
