改良B-Lynch缝合术治疗剖宫产术宫缩乏力性产后出血的临床效果分析

Effect of improved B-Lynch uterine suture for uterine atony postpartum haemorrhage in cesarean delivery

目的探讨改良B-Lynch缝合术治疗剖宫产术宫缩乏力性产后出血的临床疗效。方法将98例剖宫产术宫缩乏力性产后出血患者随机分为观察组和对照组,每组49例。2组在给予按摩子宫、静脉注射缩宫素等常规处理后,分别采用传统B-lynch缝合术和改良B-lynch缝合术。比较2组患者止血疗效及术后并发症等情况。结果 2组患者产后出血率,产后2、24 h出血量比较,差异均无统计学意义(P>0.05);观察组术后恶露量显著少于对照组(P<0.05);观察组术后腹痛、肠粘连及产褥病的发生率显著低于对照组(P<0.05)。结论改良B-lynch缝合术治疗剖宫产术宫缩乏力性产后出血安全有效,可有效降低产后出血的发生,减少并发症的发生率。

Objective To explore the clinical effect of improved B-Lynch uterine suture for uterine atony postpartum haemorrhage in cesarean delivery.Methods A total of 98 patients with uterine atony postpartum haemorrhage in cesarean delivery were randomly divided into control group（n=49） and observation group（n=49）.Both groups received conventional treatment of uterus massage and intravenous injection of oxytocin.Then the control group and observation group received traditional B-Lynch uterine suture and improved B-Lynch uterine suture,respectively.The clinical effect of hemostasis and post-operative complications were observed and analyzed.Results The differences of the rates of postpartum haemorrhage,and postpartum bleeding 2 hours and 24 hours after surgery in both groups were not statistically different（P〈0.05）.The amount of lochia in the observation group was significantly reduced,compared with the control group（P〈0.05）.The incidence rates of postoperative abdominal pain,intestinal adhesion,puerperalism of the observation group were all significantly lower than those of the control group（P〈0.05）.Conclusion Improved B-Lynch uterine suture is effective and safe in the treatment of uterine atony postpartum haemorrhage in cesarean delivery,and it can reduce postpartum haemorrhage and the incidence of postoperative complications.