Effect of the transverse annular compression suture hemostasis in lower uterine with placenta previa complicated with placenta accreta during caesarean section

Objective: To explore the effects of transverse annular compression suture(TACS) hemostasis in lower uterine with placenta previa complicated with placenta accreta during cesarean section.Methods: Seventy-two puerperas with placenta previa complicated with placenta accreta were treated with cesarean section from January 2013 to January 2015,and randomly divided into the group A(42 cases) and group B(30 cases).The group A and group B were treated with TACS combined with repair hemostasis and traditional “8-type” suture combined wih balloon compression hemostasis,respectively.The drug usage,hemostasis effect,coagulation,postpartum complications,uterine involution and maternal mental between two groups were compared.Results: The Hemabate usage in group A was significantly lower than that in group B(P<0.05),the blooding before intervention,intervention and after intervention,and total blood loss in group A were significantly lower than those in group B(P<0.05) and the transfusion rate and blood transfusion in group A were significantly lower than those in group B(P<0.05).The difference of hysterectomy rate between group A(0.00%) and group B(43.33%) was statistically significant(P<0.05).The uterine involution rate in group A(100.00%) was significantly higher than that in group B(56.67 %)(P<0.05).The postpartum Self-rating Anxiety Scale and Self-rating Depression Scale scores in group A were significantly lower than those in group B(P<0.05).Conclusions: Compared with the compression hemostasis in womb,the effect of transverse annular compression suture hemostasis in lower uterine with placenta previa complicated with placenta accreta during cesarean section is good,which can effectively shorten the operation time,reduce the intraoperative blooding and hysterectomy rate,improve postpartum mental state and coagulation function,and has certain clinical value.