中国实用妇科与产科杂志

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产后出血的保守性手术治疗

丁建1,连岩1,王谢桐2   

  1. 作者单位:1.山东省妇产医院,山东 济南250014;2.山东大学附属省立医院妇产科,山东 济南250021
  • 出版日期:2014-04-02 发布日期:2014-05-04
  • 通讯作者: 王谢桐

Conservative surgical management of postpartum hemorrhage.

DING Jian**,LIAN Yan**,WANG Xie-tong   

  1. Obstetrics and Gynecology Hospital of Shandong Province,Jinan 250014,China
  • Online:2014-04-02 Published:2014-05-04

摘要:

产后出血是分娩期常见而且严重的并发症,在药物和子宫按摩不能控制出血时,需采取手术干预。保守性手术是指保留子宫的手术方法,包括血管结扎、宫腔填塞压迫止血、子宫压迫缝合等。B-Lynch缝合技术在产后出血的保守性手术治疗中具有里程碑式的意义,并且由此改良出多种子宫压迫缝合方法。这些技术各有利弊和不同的适应证,根据产后出血的不同原因选择合适的保守性手术方式,才能达到良好止血和减少并发症的目的。

关键词: 产后出血, 动脉结扎, 子宫压迫缝合

Abstract:

Abstract:Postpartum hemorrhage (PPH) is one of the leading causes of maternal morbidity and mortality worldwide. When PPH is unresponsive to medication or uterine massage, conservative surgical intervention(uterine reserved) is necessary.These surgical interventions include arterial ligation, intrauterine tamponade techniques and uterine compression suture (such as Cho suture and B-Lynch which is a milestone in the conservative surgical treatment of PPH).However each technique has both merits and drawbacks,obstetricians must be aware of the cause of the PPH and the indication of various technique.

Key words: postpartum hemorrhage (PPH), arterial ligation, uterine compression suture

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