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目的改良B-Lynch缝合术治疗剖宫产产后出血的临床效果分析。方法分析2009年7月至2011年3月在河北省青龙县医院妇产科应用B-Lynch缝合术治疗剖宫产产后出血的41例产妇(A组)的临床资料,与同期应用子宫动脉结扎术治疗剖宫产产后出血的39例产妇(B组)的临床资料进行比较。结果经过B-Lynch缝合术和子宫动脉结扎术治疗后,A组和B组产妇出血量明显减少,两种治疗方法均可有效止血,两组有效率均为100%,治疗后两组术后肠梗阻、肠粘连并发症发生率无统计学差异(P>0.05);A组B组相比,手术时间(17124)vs(23732)、术中出血量(997264)vs(1274328)、术后恶露量(12247)vs(20575)、恶露持续时间(2411)vs(3317)均有统计学差异(P<0.05);A组术后子宫复旧率为90.2%,B组术后子宫复旧率为71.8%,有显著统计学差异(P<0.01),A组和B组术后腹痛发生率分别为19.5%、19.5%(P<0.05)。结论改良B-Lynch缝合术治疗剖宫产产后出血操作方法简便,可迅速止血,对医疗器械无特殊要求,可以再各级医院推广应用。
Objective To improve the clinical effect of B-Lynch suture in treating cesarean section postpartum hemorrhage. Methods The clinical data of 41 pregnant women (group A) who were treated with B-Lynch suture in obstetrics and gynecology department of Qinglong County Hospital of Hebei Province from July 2009 to March 2011 were analyzed. Compared with the same period, uterine artery ligation The clinical data of 39 cases of postpartum hemorrhage treated by cesarean section (group B) were compared. Results After B-Lynch suture and uterine artery ligation, the amount of bleeding in group A and group B was significantly reduced. Both treatments were effective in stopping bleeding. The effective rates in both groups were 100%. After treatment, There was no significant difference in the incidence of intestinal obstruction and intestinal adhesion between the two groups (P> 0.05). The average operative time (17124) vs (23732), intraoperative blood loss (997264) vs (1274328) (12247) vs (20575), the duration of lochia (2411) vs (3317) were statistically significant (P <0.05); the rate of uterine involution in group A was 90.2%, the rate of uterine involution in group B was (P <0.01). The incidence of postoperative abdominal pain in group A and group B was 19.5% and 19.5% respectively (P <0.05). Conclusion Improved B-Lynch suture for postpartum hemorrhage after cesarean section operation method is simple and can quickly stop bleeding, there are no special requirements for medical devices, which can be further applied at all levels of hospitals.