The Application of Annular Suture in the Treatment of Postpartum Hemorrhage Caused by Dangerous Placenta Previa
10.3969/j.issn.1003-4706.2018.01.017
- VernacularTitle:术前预置髂内动脉球囊联合子宫下段环形缝扎在凶险性前置胎盘致产后出血中的应用
- Author:
Xiao-Hua WANG
1
;
Chun-Mei LI
;
Xiao-Jun XIE
;
Jian XU
Author Information
1. 云南省第二人民医院产科
- Keywords:
Danger placenta;
Placenta accreta;
Postpartum hemorrhage;
The lower segment of the uterus with annular suture
- From:
Journal of Kunming Medical University
2018;39(1):73-76
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of pre-operative internal iliac artery capsule combined with the lower segment of the uterus with annular suture on the treatment of postpartum hemorrhage caused by dangerous placenta previa and the long-term effect of the operation. Methods from January 1, 2015 to March 31, 2017, the second people's Hospital of Yunnan province for Cesarean danger in placenta of patients using preset internal iliac artery balloon combined with lower uterine segment ring-shaped suture in the treatment of 22 cases of patients as research group, Lower uterine segment multiple is not used in loop suture for treatment, but has a preset internal iliac artery balloon 18 cases of dangerous patients with placenta previa, as retrospective analysis clinical data of the comparison group. Results Mean blood loss in 22 patients 1329.54±290 ml. Does not occur in all patients around organ damage and other complications. 1 examples of hysterectomy. 5.23 days postoperative average hospital stay. After 3 months of follow-up ultrasound, uterus shape well. In 18 patients in the control group average blood loss 1451.11 ±311 ml of blood loss were significantly higher in the study group, there was a statistically significant difference ( <0.05) . 2 examples of hysterectomy in the control group. Uterine reservations there was statistically significant ( <0.05) . Conclusion Combined preset internal iliac artery balloon uterus circular suturing for the dangerous result of placenta previa with placenta accreta intraoperative uterine bleeding for better effect.
