剖宫产术中使用宫颈止血带减少胎盘植入患者出血的初步研究
Cervical tourniquet during cesarean section to reduce bleeding in morbidly adherent placenta: a pilot study.
作者信息
Altal Omar F, Qudsieh Suhair, Ben-Sadon Abeer, Hatamleh Assala, Bataineh Adel, Halalsheh Omar, Amarin Zouhir
机构信息
Department of Obstetrics & Gynecology, Faculty of Medicine, Jordan University of Science & Technology, Irbid, 22110, Jordan.
Department of Clinical Science/Obstetrics & Gynecology, Faculty of Medicine, Yarmouk University, Irbid, 21163, Jordan.
出版信息
Future Sci OA. 2022 Mar 8;8(4):FSO789. doi: 10.2144/fsoa-2021-0087. eCollection 2022 Apr.
OBJECTIVE
To evaluate a modified surgical technique aiming to reduce bleeding and preserve fertility in morbidly adherent placenta by cervical tourniquet in cesarean sections.
METHODS
The cesarean section operations and the cervical ligation approach were performed by a single expert consultant obstetrician. The general demographics and clinical characteristics for all participants were collected and studied.
RESULTS
Eleven participants were involved. The uterus was preserved in nine patients, whereas two patients had hysterectomy. The mean blood loss was 1688.8 ml for patients whose uterus was preserved. The mean length of stay was 5.5 days.
CONCLUSION
Cervical ligation is a simple method that can be applied by junior and experienced obstetricians to preserve the uterus.
目的
评估一种改良手术技术，旨在通过剖宫产术中使用宫颈止血带减少凶险性前置胎盘的出血并保留生育能力。
方法
剖宫产手术及宫颈结扎方法由一位资深产科专家顾问实施。收集并研究所有参与者的一般人口统计学和临床特征。
结果
共纳入11名参与者。9例患者子宫得以保留，而2例患者进行了子宫切除术。子宫得以保留的患者平均失血量为1688.8毫升。平均住院时间为5.5天。
结论
宫颈结扎是一种简单的方法，初级和经验丰富的产科医生均可应用以保留子宫。
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