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目的探讨改良式B-Lynch缝合术在治疗剖宫产术中因子宫收缩乏力导致难治性产后出血的应用价值。方法对17例因剖宫产术中难治性子宫收缩乏力性出血的病例采用改良式B-Lynch缝合术治疗,观察治疗效果及成功率。结果 17例病例中16例治疗后出血减少,成功保留子宫,术后无并发症发生。结论改良式B-Lynch缝合术是一种操作简单、安全、有效、损伤小、恢复快的方法,不失为剖宫产时出现难治性子宫收缩乏力性出血的积极治疗措施,适合各级医院。
Objective To explore the value of modified B-Lynch suture in the treatment of refractory postpartum hemorrhage due to uterine atony in cesarean section. Methods A total of 17 cases of refractory uterine atony due to cesarean section were treated with modified B-Lynch suture. The therapeutic effect and success rate were observed. Results Of the 17 cases, 16 cases were treated with hemorrhage reduced and the uterus was successfully preserved. No postoperative complications occurred. Conclusion Modified B-Lynch suture is a simple, safe, effective, less damage and rapid recovery method, after which may be an active treatment for refractory uterine atony in cesarean section. It is suitable for all levels of hospitals.