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目的:对比改良式B-Lynch子宫缝合术与B-Lynch缝合术的临床效果。方法:2011年3月～2013年3月因剖宫产收入院的患者100例,经家属签订知情同意书,最后纳入符合本研究的患者60例,收治的患者经等量电脑随机方式分为改良术式组30例和常规术式组30例。观测术中输血量、手术时间、术后24h阴道流血量、术后随访,对比两组患者的宫内感染及子宫复旧不良等导致晚期出血产后出血发生率。结果:改良术式组在输血量、手术时间、术后24 h阴道流血量3个水平上的效果明显优于传统术式组,P<0.05,统计学差异明显;术后随访显示产后出血量改良术式组低于传统术式组10%,差异不具有统计学意义(P>0.05)。结论:改良B-Lynch子宫缝合术应用于剖宫产后出血的优于常规术式组,具有临床应用价值。
Objective: To compare the clinical effects of modified B-Lynch suture and B-Lynch suture. Methods: From March 2011 to March 2013, 100 patients were admitted to the hospital for cesarean delivery. Informed consent was obtained from relatives. Finally, 60 patients were enrolled in this study. Patients admitted were randomly divided into 30 cases of modified surgery group and 30 cases of conventional surgery group. The blood transfusion volume, operation time, postoperative 24h vaginal bleeding, postoperative follow-up were compared between the two groups of patients with intrauterine infection and uterine involution, leading to the incidence of postpartum hemorrhage late bleeding. Results: The results of modified operation group were significantly better than those of conventional operation at 3 levels of blood transfusion, operation time and 24 h postoperative vaginal bleeding, P <0.05, the difference was statistically significant; postoperative follow-up showed postpartum hemorrhage The modified operation group was 10% lower than the traditional operation group, the difference was not statistically significant (P> 0.05). Conclusion: The modified B-Lynch uterine suture applied to post-cesarean section bleeding is superior to the conventional surgical group, with clinical value.