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目的对比改良B-Lynch缝合术与晨笛网压缝合术治疗难治性产后出血的效果。方法选取2014年7月—2016年8月收治的难治性产后出血患者80例,随机分为A组、B组各40例。A组行改良B-Lynch缝合术治疗,B组行晨笛网压缝合术治疗。记录两组手术时间、术中出血量、术后出血量及总输血量,止血成功、输血及术后并发症发生情况。计量资料比较采用t检验,计数资料比较采用χ~2检验,P<0.05为差异有统计学意义。结果 A组术中出血量、术后出血量、总输血量[(1 112.01±300.92)、(112.45±20.65)、(1 310.16±311.02)ml]均较B组[(1 342.93±457.12)、(147.94±26.71)、(1 611.35±360.29)ml]少(均P<0.05)。A组止血成功率(92.50%)高于B组(75.00%),术后腹痛和感染发生率(7.50%、5.00%)低于B组(27.50%、20.00%)(均P<0.05)。结论与晨笛网压缝合术相比,改良B-Lynch缝合术治疗难治性产后出血的止血效果更佳,并发症发生率更低。
Objective To compare the effects of modified B-Lynch suture and morning-wire mesh suture in the treatment of refractory postpartum hemorrhage. Methods Eighty patients with refractory postpartum hemorrhage admitted from July 2014 to August 2016 were randomly divided into group A and group B, 40 cases each. Group A was treated with modified B-Lynch suture, group B with morning suture pressure suture. The operation time, intraoperative blood loss, postoperative blood loss, total blood transfusion, successful hemostasis, blood transfusion and postoperative complications were recorded. Measurement data were compared using t test, count data were compared using χ ~ 2 test, P <0.05 for the difference was statistically significant. Results The intraoperative blood loss, postoperative blood loss and total blood transfusion in group A were significantly higher than those in group B [(1 112.01 ± 300.92), (112.45 ± 20.65), (1 310.16 ± 311.02) ml] [(1 342.93 ± 457.12) (147.94 ± 26.71), (1 611.35 ± 360.29) ml] (all P <0.05). The success rate of hemostasis (92.50%) in group A was higher than that in group B (75.00%). The incidences of postoperative abdominal pain and infection were 7.50%, 5.00% lower than those in group B (27.50%, 20.00%) (all P. Conclusion Compared with the dawdler mesh suture, improved B-Lynch suture hemostasis in refractory postpartum hemorrhage is better and the complication rate is lower.