子宫包粽子缝合术治疗宫缩乏力性产后出血1例报道
Journal of Clinical Medicine in Practice（2019）
Abstract
患者32岁,因“停经36+1周,发现胎盘位置异常3个月余”在本院产科就诊.既往有2次阴道分娩史及3次人工流产史,术前阴道彩超及盆腔MRI均提示完全性前置胎盘,可疑胎盘植入.患者后在本院择期行剖宫产手术,术中胎盘娩出后子宫收缩乏力,子宫松弛如口袋,行B-Lynch缝合术后阴道出血未见好转,出血300 mL,后行子宫包粽子缝合术(USS)后3 min左右阴道出血停止,术后出血100 mL,术后患者无不适主诉并顺利出院.剖宫产术后42 d复查子宫附件彩超及宫腔镜均提示子宫复旧良好,子宫血流通畅,宫腔形态正常,子宫内膜光滑,双侧输卵管开口通畅.术后半年,患者月经正常复潮.
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