背景:我们开发了一种专用的钝直针,编号:2种用于子宫压迫缝线(UCSs)的聚二恶烷酮缝线(2-Monodiox®),旨在通过与市售针头和缝线类型进行比较来评估UCSs对产后出血的结局和并发症发生率。
方法:对2010年1月至2018年2月进行回顾性分析。在学习期间,使用两种类型的市售缝合线和2-Monodiox®。PubMed,MEDLINE,我们在Scopus数据库中搜索了1997年1月至2017年5月期间发表的英文文章,使用与UCS的缝合线和针头类型相关的搜索词,以讨论UCS的专用针头和缝合线.
结果:分析包括子宫体三种缝合类型的UCSs47例(编号:0聚二恶烷酮,7例;不。脊髓灰质炎1例25,21例;和编号2聚二恶烷酮,19例)。B-Lynch缝线使用编号0号缝线与子宫保存率明显低于编号缝线。1和2缝线(42.9%vs.95.2和89.5%,分别为;p<0.01)。使用2-Monodiox®缝线进行改良的Hayman缝合技术,与使用No.1根脊髓灰质炎-25根缝线。无患者出现严重并发症。文献综述显示,尚未开发用于UCSs的专用缝线。已经开发了三根用于UCS的专用针头,2-Monodiox®是用于UCS的第一个专用钝直针。
结论:我们的数据显示编号:0缝线不应用于B-Lynch缝线。2-Monodiox®的子宫保存率与改良的Hayman缝线和No.1poliglecaprone25缝线与B-Lynch缝线,无严重并发症发生。
BACKGROUND: We developed a dedicated blunt straight needle with No. 2 polydioxanone sutures (2-Monodiox®) for uterine compression sutures (UCSs) and aimed to assess the outcomes and complication rates of UCSs for postpartum hemorrhage by comparing with commercially available needle and suture types.
METHODS: A retrospective analysis was performed between January 2010 and February 2018. During the study period, two types of commercially available sutures and 2-Monodiox® were used. PubMed, MEDLINE, and Scopus databases were searched for English articles published between January 1997 and May 2017 using search terms related to the suture and needle types for UCSs to discuss the dedicated needles and sutures for UCS.
RESULTS: The analysis included 47 cases of UCSs for the uterine body with three suture types (No. 0 polydioxanone, 7 cases; No. 1 poliglecaprone 25, 21 cases; and No. 2 polydioxanone, 19 cases). B-Lynch suture using No. 0 sutures was associated with a significantly lower uterine preservation rate than those with Nos. 1 and 2 sutures (42.9% vs. 95.2 and 89.5%, respectively; p < 0.01). A modified Hayman suture technique was performed using 2-Monodiox® sutures, which achieved a similar uterine preservation rate compared with B-Lynch suture using No. 1 poliglecaprone 25 sutures. No patients developed severe complications. The literature
review showed that no dedicated sutures have developed for UCSs. Three dedicated needles for UCSs have been developed, and 2-Monodiox® is the first dedicated blunt straight needle for UCSs.
CONCLUSIONS: Our data showed that No. 0 sutures should not be used for B-Lynch suture. The uterine preservation rate is similar for 2-Monodiox® with modified Hayman suture and No. 1 poliglecaprone 25 sutures with B-Lynch suture, without the occurrence of severe complications.