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产后出血(PPH)防治是产科重点关注的问题,子宫压迫缝合术是介于子宫切除术与保守治疗间的一种治疗方法,子宫压迫缝合术有助于保留子宫。B-Lynch缝合术是常用的子宫压迫缝合术,有学者提出改良式B-Lynch缝合术,如采用两根缝合线代替一根缝合线用于Hayma缝合术、安全针缝合术等;其他子宫压迫缝合术还包括Cho缝合术、Ouahha缝合术、子宫下段平行垂直压迫术、Zheng缝合术、EUEB法等,各有优劣。压迫缝合法若外力掌控不当、手术操作不当可造成子宫血管损伤,进而引起肌层、子宫内膜、宫腔形态变化,诱发子宫肌层坏死、宫腔积脓、炎症、子宫破裂、子宫变形、感染、腹痛、恶露、月经异常等并发症。医师应明确子宫解剖结构、血管分布与各种术式优劣,选择合适的术式,并联合使用止血剂等措施,以增强疗效,降低手术风险。
Postpartum hemorrhage (PPH) prevention and treatment is the obstetric focus of attention, uterine compression suture is between hysterectomy and conservative treatment of a treatment, uterine compression suture helps to retain the uterus. B-Lynch suture is commonly used uterine compression suture, some scholars have proposed modified B-Lynch suture, such as the use of two sutures instead of a suture for Hayma suture, needle suture safety; other uterine compression Sutures also include Cho suture, Ouahha suture, the lower uterine parallel vertical compression surgery, Zheng suture, EUEB method, each have their advantages and disadvantages. Opposing suture method if the external force control improper operation improper operation can cause uterine vascular injury, and then cause muscle, endometrium, uterine cavity morphology changes, induced myometrial necrosis, uterine empyema, inflammation, uterine rupture, uterine deformation, Infection, abdominal pain, lochia, abnormal menstruation and other complications. Physicians should be clear uterine anatomy, blood vessels and the advantages and disadvantages of various surgical procedures, select the appropriate surgical procedures, combined with the use of hemostatic agents and other measures to enhance the efficacy and reduce surgical risk.