改良B-Lynch缝合术联合药物治疗剖宫产术后出血的疗效及安全性分析

Efficacy and safety of modified B-Lynch suture combined with drugs in the treatment of hemorrhage after cesarean section

目的:探究改良B-Lynch缝合术联合药物治疗剖宫产术后出血的疗效及安全性。方法:选择2015年6月至2017年3月我院收治的剖宫产术后出血患者108例,根据随机数字表法将所有患者分为两组,每组各54例。对照组患者行传统宫腔纱条填塞术治疗,观察组患者行改良B-Lynch缝合术联合药物治疗,比较两组患者术中出血量、术后24h内出血量及切口愈合时间和术后2周内肠粘连、感染、肠梗阻等并发症的发生情况。结果:观察组患者术中出血量、术后24h内出血量、切口愈合时间、并发症发生率均明显低于对照组(P<0.05),成功止血率高于对照组(P<0.05)。结论:改良B-Lynch缝合术联合药物治疗剖宫产术后出血能有效减少术中及术后出血量,提高成功止血率,且术后并发症少,利用患者预后,临床应用价值高。

Objective：To evaluate the efficacy and safety of modified B-Lynch suture combined with drugs in the treatment of hemorrhage after cesarean section.Methods：From June 2015 to March 2017,108 patients with postoperative cesarean section were treated in our hospital.All patients were randomly divided into two groups.The patients in the control group underwent traditional intrauterine gauze packing.The patients in the observation group were treated with modified B-Lynch suture combined with drug therapy.The amount of bleeding during operation,the amount of bleeding within 24 hafter operation,the healing time of incision and the complications of intestinal adhesion,infection and intestinal obstruction within 2 weeks after operation were compared between the two groups.Results：Compared with the control group,the interoperative blood loss,the amount of bleeding,the time of incision healing and the complication rate were significantly decreased in the observation group（P〈0.05）.And the effective hemostasis rate was significantly increased in the observation group（P〈0.05）.Conclusion：Modified B-Lynch suture combined with drug treatment can effectively reduce the interoperative and postoperative bleeding volume,improve the success rate of hemostasis with less postoperative complications,which has high clinical application value.