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目的:分析前置胎盘剖宫产术中采用B-Lynch缝合术对产后月经的影响。方法:将90例前置胎盘产妇随机分为两组各45例,观察组在剖宫产术中采用B-Lynch缝合术止血,对照组采用宫腔塞纱法止血。观察两组产妇手术时间、缩宫素使用量、欣母沛使用量、术中出血量及术后出血量,随访观察比较两组产妇产后恶露持续时间及月经恢复正常所需的周期。结果:观察组手术时间明显短于对照组,差异有统计学意义(P<0.05)。两组缩宫素使用量无明显差异,但是对照组的欣母沛使用量显著多于研究组(P<0.05)。观察组术中及术后的出血量明显少于对照组(P<0.05),两组产妇随访产后恶露持续时间和月经恢复时间及月经一般情况差异均无统计学意义(P>0.05)。结论:前置胎盘剖宫产术中采用B-Lynch缝合术可以明显减少产妇的出血量,且对后期的月经无明显不良影响,可以作为前置胎盘剖宫产术比较理想的术式。
Objective: To analyze the effect of B-Lynch suture on postpartum menstruation in cesarean section of placenta previa. Methods: 90 cases of placenta previa were randomly divided into two groups of 45 cases, the observation group in the cesarean section using B-Lynch suture to stop bleeding, the control group using the method of cessation of plug to stop bleeding. Observe the operation time of two groups of maternal, oxytocin consumption, the use of Xin-Pei, blood loss and postoperative blood loss, follow-up observation of the two groups of postpartum lochia duration and menstrual cycle back to normal. Results: The operation time of the observation group was significantly shorter than that of the control group, with significant difference (P <0.05). There was no significant difference in oxytocin consumption between the two groups, but the use of Xinmipei in the control group was significantly more than that of the study group (P <0.05). The intraoperative and postoperative bleeding volume in the observation group was significantly less than that in the control group (P <0.05). There was no significant difference in the duration of postoperative lochia lochia, menstruation recovery time and the general menstruation between the two groups (P> 0.05). Conclusion: B-Lynch suture in pre-placenta cesarean section can significantly reduce the amount of maternal bleeding, and no significant adverse menstruation later, can be used as an ideal preoperative cesarean section placenta previa.