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目的探讨改良B-Lynch缝合术在剖宫产术中大出血的临床应用价值。方法 70例行剖宫产术中发生大出血的患者,随机分为对照组和观察组,每组35例。对照组行宫腔纱布填塞治疗,观察组行改良B-Lynch缝合术治疗,比较两组患者的术中及术后情况。结果两组患者均顺利止血,其中对照组的术中出血量为(820±240)ml,手术时间为(2.6±1.2)h,住院时间为(7.9±1.4)d;观察组的术中出血量为(560±180)ml,手术时间为(1.8±1.1)h,住院时间为(5.4±1.3)d。观察组的术中出血量少于对照组,手术时间和住院时间短于对照组,比较差异均具有统计学意义(P<0.05)。结论改良B-Lynch缝合术治疗剖宫产术中大出血疗效显著,且安全可靠,具有临床推广应用价值。
Objective To investigate the clinical value of modified B-Lynch suture in patients with bleeding after cesarean section. Methods Seventy patients undergoing massive cesarean section were randomly divided into control group and observation group, with 35 cases in each group. The control group was treated with uterine gauze packing, and the observation group was treated with modified B-Lynch suture. The intraoperative and postoperative conditions were compared between the two groups. Results The bleeding volume was (820 ± 240) ml in the control group, the operation time was (2.6 ± 1.2) h and the hospitalization time was (7.9 ± 1.4) days. The intraoperative blood loss in the observation group The volume was (560 ± 180) ml, the operation time was (1.8 ± 1.1) h and the hospitalization time was (5.4 ± 1.3) d. The observation group had less intraoperative blood loss than the control group, and the operation time and hospitalization time were shorter than those in the control group. The differences were statistically significant (P <0.05). Conclusion Improved B-Lynch suture in the treatment of bleeding in cesarean section significant effect, and safe and reliable, with clinical application value.