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中华产科急救电子杂志

中华产科急救电子杂志 ›› 2013, Vol. 02 ›› Issue (04) : 289 -292. doi: 10.3877/cma.j.issn.2095-3259.2013.04.015

所属专题： 文献；

技术与方法

Zheng子宫压迫缝合术
马钦玲1, 郑剑兰1,†(), 付景丽1, 张小琼1, 汪文雁1, 李美莹1, 侯丽1   
  1. 1. 361003　解放军第一七四医院　厦门大学附属成功医院　安徽医科大学一七四临床学院产科
  • 收稿日期:2013-09-02 出版日期:2013-11-18
  • 通信作者: 郑剑兰
  • 基金资助:
    国家自然科学基金面上项目(36100502－380－0)

“Zheng” uterine compression suture

Qin-ling MA1, Jian-lan ZHENG1(), Jing-li FU1   

  • Received:2013-09-02 Published:2013-11-18
  • Corresponding author: Jian-lan ZHENG
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马钦玲, 郑剑兰, 付景丽, 张小琼, 汪文雁, 李美莹, 侯丽. Zheng子宫压迫缝合术[J]. 中华产科急救电子杂志, 2013, 02(04): 289-292.

Qin-ling MA, Jian-lan ZHENG, Jing-li FU. “Zheng” uterine compression suture[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2013, 02(04): 289-292.

图1 Zheng子宫压迫缝合术的缝合步骤。A.前壁子宫下段缝合；B.宫底部缝合固定；C.后壁子宫下段对应前壁切口位置缝合；D.将缝线两端于宫底部拉紧加压打结，另一侧同法缝合及拉紧加压打结
图2 Zheng子宫压迫缝合术后立面观
图3 Zheng子宫压迫缝合术后正面及侧面观
表1 国内外各种不同子宫压迫缝合术特点
序号 作者 方法 年度 例数 特点
1 B-Lynch等[6] B-Lynch缝合 1997 5 需子宫切口、特殊针、进宫腔、单条线缝合、单股加压
2 Cho等[10] 补丁缝合；方块缝合 2000 23 不需切开子宫、进宫腔、局部压迫、闭合宫腔
3 Hayman等[11] Hayman缝合Arulkumaran改良 2002 6 不需切开子宫、两条线两边缝合单股加压、进宫腔、闭合宫腔
4 Pereira等[24] 垂直平行 2005 7 进宫腔、前后压迫、闭合宫腔
5 Bhal等[25] 改良B-Lynch 2005 11 两条线分两边缝合、单股加压、进宫腔
6 Ouahba[26] Ouahba缝合 2007 20 四针前后压迫、闭合宫腔
7 Hackethal[27] Hackethal缝合 2008 7 6-16针进宫腔、水平间断压迫缝合
8 Meydanli等[28] Meydanli缝合 2008 7 单条线缝合、单股加压、进宫腔
9 Marasinghe等[14] 改良B-Lynch 2009 2 双条线分两边缝合、单股加压、进宫腔、宫底固定、闭合宫腔
10 周金凤[29] 子宫体部环形捆扎术 2009 5 横行多层捆扎
11 杜晓东[30] 宫体打补钉 2009 5 像钉书针样，结打在子宫浆膜层
12 陈雄[31] 子宫局部全层压迫缝合技术 2010 13 进宫腔、方块缝合、局部止血
13 周文红[32] 子宫下截全层"8"字缝合 2011 40 进宫腔、局部止血
14 俞丽丽[33] 背包式缝合 2011 11 环形多重捆绑缝合
15 Zheng等[7] Zheng子宫压迫缝合术 2011 9 不需切开子宫、保留宫腔、不穿透宫壁、双条线分两边缝合、双股加压、宫底固定
16 Meydanli等[34] 改良B-Lynch缝合术 2012 4 需子宫切口、特殊针、进宫腔、单条线缝合、单股加压宫底穿透固定
17 Makino等[35] 双垂直压迫缝合 2012 3 4条线分别进宫腔、前后压迫、闭合子宫下段及宫腔
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