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目的评价子宫下段垂直平行压迫(Hwu)缝合术在前置胎盘剖宫产术中的应用效果。方法回顾性分析73例前置胎盘剖宫产手术产妇的临床资料,所有产妇术中均行Hwu缝合术,观察Hwu缝合术的近期疗效及并发症,并通过随访对远期疗效进行评价。结果本组73例患者术中止血有效率为91.8%,产后出血率为31.5%,产后平均出血量为(652.8±246.7)ml。术后复查B超未发现异常,仅1例产妇发生凝血功能异常,给予输血后恢复正常。术后随访产妇均无痛经症状,无再次生育及人工流产产妇。结论 Hwu缝合术是一种安全的压迫缝合技术,适用于前置胎盘剖宫产术,能够有效控制术中和术后出血,保证母婴安全,可在临床积极应用。
Objective To evaluate the effect of Hwu suture in cesarean section of placenta previa. Methods The clinical data of 73 cases of antenatal cesarean section were analyzed retrospectively. All the patients underwent maternal Hwu suture. The curative effect and complications of Hwu suture were observed. The long-term curative effect was evaluated by follow-up. Results The operative efficiency of hemostasis was 91.8%, postpartum hemorrhage rate was 31.5% and average postpartum hemorrhage was (652.8 ± 246.7) ml in 73 patients. B-ultrasound was found no abnormalities after surgery, only 1 case of maternal coagulation dysfunction, giving blood returned to normal. Postoperative follow-up of mothers were dysmenorrhea symptoms, no re-birth and abortion of mothers. Conclusion Hwu suture is a safe compression suture technique for cesarean section placenta previa, can effectively control intraoperative and postoperative bleeding, to ensure the safety of mother and child, which can be actively used in clinical practice.