剖宫产术中前置胎盘孕妇应用宫腔持续连续缝合术进行止血。
Bleeding control using intrauterine continuous running suture during cesarean section in pregnant women with placenta previa.
机构信息
Department of Obstetrics and Gynecology, School of Medicine, Catholic University of Daegu, Gyeongsan, South Korea.
出版信息
Arch Gynecol Obstet. 2019 Jan;299(1):135-139. doi: 10.1007/s00404-018-4957-4. Epub 2018 Nov 1.
PURPOSE
The purpose of this study was to evaluate the effectiveness of intrauterine continuous running suture during cesarean section in pregnant women with placenta previa.
METHODS
We enrolled 277 women and medical records were retrospectively reviewed. Pregnant women were grouped according to uterine bleeding control methods as follows: Group A, using intrauterine continuous running suture and Group B (control group) using figure-of-eight suture.
RESULTS
Intrauterine continuous running sutures were used in 104 pregnant women. Mean total blood loss in Group A was significantly less than that in Group B (1332.70 ± 152.92 mL vs 1861.56 ± 157.74 mL, P = 0.029). Mean total transfusion unit of Group A was significantly less than that in Group B (1.74 ± 0.41 vs 3.52 ± 0.75, P = 0.037).
CONCLUSIONS
Intrauterine continuous running sutures can significantly reduce postpartum blood loss and transfusion units during cesarean section in pregnant women with placenta previa.
目的
本研究旨在评估剖宫产术中宫腔内连续缝合术在前置胎盘孕妇中的有效性。
方法
我们纳入了 277 名女性，并对其病历进行了回顾性分析。根据子宫出血控制方法将孕妇分为两组：A 组采用宫腔内连续缝合术，B 组（对照组）采用 8 字缝合术。
结果
104 名孕妇采用宫腔内连续缝合术。A 组的总失血量明显少于 B 组（1332.70±152.92ml 比 1861.56±157.74ml，P=0.029）。A 组的总输血量也明显少于 B 组（1.74±0.41 比 3.52±0.75，P=0.037）。
结论
宫腔内连续缝合术可显著减少前置胎盘孕妇剖宫产术中的产后出血量和输血量。
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