摘要
目的:观察宫颈提拉式缝合在前置胎盘剖宫产术中出现宫颈管顽固性出血时的止血效果。方法:选择2012年6月1日至2013年5月30日我院因中央性前置胎盘剖宫产术中发生宫颈管顽固性出血患者15例,行宫颈提拉式缝合,对术中止血效果和产后出血情况进行观察,并随访至产后42天。结果:经宫颈提拉式缝合后,15例宫颈管活动性出血迅速停止,无一例行子宫切除术,术后24小时阴道流血量少,子宫复旧良好,未发生晚期产后出血。结论:前置胎盘剖宫产术中宫颈管活动性出血采用宫颈提拉式缝合止血效果好,近期随访无并发症,操作简单易行,可以作为处理剖宫产术中宫颈管顽固性出血的有效缝合方法之一。
Objective ：To observe the haemostatic efficacy of cervical hanging maneuver in cesarean sec- tion with placenta previa. Methods：15 patients suffering from intractable hemorrhage of cervical canal in CS from June 2012 to May 2013 were brought into the new operation, and the haemostatic effect during opera- tion and postpartum hemorrhage were observed. All the patients were followed up to 42 days after CS. Re- sults：15 cases of cervical canal bleeding quickly stopped after cervical hanging maneuver. There were no e- mergency hysterectomy and the vaginal bleeding was few within 24h after operation. Conclusions：Cervical- hanging maneuver was effective in control intractable hemorrhage of cervical canal in placenta previa and there were no complications in the near period. It was easy to master and could be a good suture maneuver to manaae the intractable hemorrhage of cervical canal in obstetrical operations.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2014年第4期281-283,共3页
Journal of Practical Obstetrics and Gynecology
关键词
宫颈提拉式缝合
前置胎盘
宫颈顽固性出血
剖宫产术
Cervical hanging maneuver
Placenta previa
Intractable hemorrhage of cervical canal
Ce-sarean section
