Treatment of Pernicious Placenta Previa with Ergonoxine and Spiral Suture of Lower Uterine Segment

Abstract

The aim of this study was to investigate the effect of ergonovine combined with spiral suture of lower uterine segment in the treatment of pernicious placenta previa hemorrhage after cesarean section. A retrospective analysis of the clinical data of 74 patients hospitalized in our hospital due to pernicious placenta previa from January to February 2016, divided them into a study group and a control group. The study group included 37 patients who received ergonovine injection into the lower uterine muscle wall+spiral suture of the lower uterus during cesarean section, and the control group included 37 cases who received the conventional method and row suture of the lower uterus. The blood loss during operation, 2 h after operation and 2-24 h after operation, operation time, hysterectomy rate, postoperative uterine involution and incision healing were observed. The systolic and diastolic blood pressure, pulse level and the incidence of postoperative complications were compared between the two groups. The results showed that the combined application of ergonovine and lower uterine spiral suture was effective in treating pernicious placenta previa hemorrhage after cesarean section. It was a simple, easy, safe and reliable surgical hemostasis method, which could effectively control massive bleeding during the operation, avoid the removal of the uterus, and completely remove the placenta and restored the shape of the lower part of the uterus by ring-shaped narrowing, which helped the uterus to regenerate after delivery.