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目的:探讨剖宫产宫缩乏力出血治疗过程中B-Lynch缝合术的应用价值。方法:将我院2015年2月至2016年2月间收治的剖宫产宫缩乏力产后出血患者76例随机分为观察组38例及对照组38例。对照组采取宫腔填塞术进行治疗,观察组实施B-Lynch缝合术治疗,比较两组患者实际治疗状况。结果:观察组术中出血量、术后24h出血量均要低于对照组,且术后恶露时间短于对照组,两组比较具有统计学意义(P<0.05)。观察组产褥病发生率要低于对照组(P<0.05)。结论:B-Lynch缝合术治疗剖宫产宫缩乏力出血效果较宫腔填塞术更好,可有效控制患者出血症状,值得推广。
Objective: To investigate the value of B-Lynch suture in the treatment of uterine bleeding due to uterine atresia. Methods: 76 cases of postpartum hemorrhage of cesarean section with uterine inertia treated in our hospital from February 2015 to February 2016 were randomly divided into observation group (38 cases) and control group (38 cases). The control group was treated by intrauterine packing, the observation group was treated with B-Lynch suture, and the actual treatment status was compared between the two groups. Results: The intraoperative blood loss in the observation group and the amount of bleeding after operation were all lower than those in the control group. The time of lochia was shorter in the observation group than in the control group (P <0.05). The incidence of puerperal in observation group was lower than that in control group (P <0.05). Conclusion: B-Lynch suture is superior to uterine incision in treating uterine bleeding due to cesarean section, which can effectively control the bleeding of patients and is worth promoting.