Abstract：
OBJECTIVE: To compare H-Hayman, a modified uterine compression suturing technique (UCS) that we describe for the first time in the literature, with conventional vertical UCS techniques.
METHODS: The H-Hayman technique was used in 14 women and the conventional UCS technique in 21 women. In order to provide standardization in the study, only patients who had developed upper-segment atony during cesarean section were recruited for the study.
RESULTS: Bleeding control was achieved in 85.7% (12/14) of the cases using the H-Hayman technique. In the remaining two patients with persistent hemorrhage in this group, bleeding control was provided with bilateral uterine artery ligation, and a hysterectomy was avoided in all cases. With the conventional technique, bleeding control was achieved in 76.1% (16/21) of the patients, and the overall success rate was 95.2% after bilateral uterine artery ligation in those with persistent hemorrhage. In addition, the estimated blood loss and the need for erythrocyte suspension transfusion were significantly lower in the H-Hayman group (P = 0.01 and P = 0.04, respectively).
CONCLUSIONS: We found the H-Hayman technique to be at least as successful as conventional UCS. In addition, patients who underwent suturing with the H-Hayman technique had less blood loss and a lower requirement for erythrocyte suspension transfusion.
METHODS: The H-Hayman technique was used in 14 women and the conventional UCS technique in 21 women. In order to provide standardization in the study, only patients who had developed upper-segment atony during cesarean section were recruited for the study.
RESULTS: Bleeding control was achieved in 85.7% (12/14) of the cases using the H-Hayman technique. In the remaining two patients with persistent hemorrhage in this group, bleeding control was provided with bilateral uterine artery ligation, and a hysterectomy was avoided in all cases. With the conventional technique, bleeding control was achieved in 76.1% (16/21) of the patients, and the overall success rate was 95.2% after bilateral uterine artery ligation in those with persistent hemorrhage. In addition, the estimated blood loss and the need for erythrocyte suspension transfusion were significantly lower in the H-Hayman group (P = 0.01 and P = 0.04, respectively).
CONCLUSIONS: We found the H-Hayman technique to be at least as successful as conventional UCS. In addition, patients who underwent suturing with the H-Hayman technique had less blood loss and a lower requirement for erythrocyte suspension transfusion.
摘要：
目的：比较H-Hayman，我们在文献中首次描述的改良的子宫压迫缝合技术（UCS），与传统的垂直UCS技术。
方法：在14名女性中使用了H-Hayman技术，在21名女性中使用了常规UCS技术。为了在研究中提供标准化，本研究仅招募了在剖宫产术中出现上段收缩的患者.
结果：使用H-Hayman技术，在85.7％（12/14）的病例中实现了出血控制。在本组其余2例持续性出血患者中,双侧子宫动脉结扎术控制出血，在所有病例中都避免了子宫切除术。使用常规技术，76.1%(16/21)的患者实现出血控制,持续出血患者双侧子宫动脉结扎后的总成功率为95.2％。此外,H-Hayman组的估计失血量和红细胞悬液输注需求显著降低(分别为P=0.01和P=0.04).
结论：我们发现H-Hayman技术至少与常规UCS一样成功。此外,接受H-Hayman技术缝合的患者失血较少,对红细胞悬液输注的要求较低.
方法：在14名女性中使用了H-Hayman技术，在21名女性中使用了常规UCS技术。为了在研究中提供标准化，本研究仅招募了在剖宫产术中出现上段收缩的患者.
结果：使用H-Hayman技术，在85.7％（12/14）的病例中实现了出血控制。在本组其余2例持续性出血患者中,双侧子宫动脉结扎术控制出血，在所有病例中都避免了子宫切除术。使用常规技术，76.1%(16/21)的患者实现出血控制,持续出血患者双侧子宫动脉结扎后的总成功率为95.2％。此外,H-Hayman组的估计失血量和红细胞悬液输注需求显著降低(分别为P=0.01和P=0.04).
结论：我们发现H-Hayman技术至少与常规UCS一样成功。此外,接受H-Hayman技术缝合的患者失血较少,对红细胞悬液输注的要求较低.
