B-lynch缝合术治疗胎盘异常及凝血功能障碍所致产后出血4例临床分析

Clinical Analysis of Four Cases of B-Lynch Sutrue for treatment of Postpartum Haemorrhage Caused By Abnomal Placenta and Coagulopathy

【目的】探讨B-Lynch缝合术治疗胎盘异常和凝血功能障碍所致产后出血的临床效果。【方法】对4例因胎盘异常和凝血功能障碍所致产后出血而采用B-Lynch缝合术式患者的临床资料进行回顾性分析。【结果】B-Lynch缝合术成功控制了2例产后出血,1例因完全性前置胎盘引起,另1例因胎盘早剥导致凝血功能障碍引起。但B-Lynch缝合术未能控制2例因胎盘植入及重症肝炎死胎导致严重凝血功能障碍所致的产后出血,不得不施行围产期子宫切除术。【结论】B-Lynch缝合术在胎盘异常及凝血功能障碍所致的产后出血病例中也会有效,但仍不能完全取代子宫全切术。

[ Objective ] To estimate the clinical effect of the B-Lynch suture for treatment of postpartum hemorrhage caused by abnormal placenta and coagulophthy. [Methodsl To analysis retrospectively of the linical date of four cases of B-Lynch sutrue for treatment of postpartum haemorrhage caused by abnormal placenta and coagulopathy. [Results] B-Lynch suture controlled successfully two cases＇ postpartum hemorrhage, one of which were caused by complete placenta previa, and another by coagulopathy due to placental abruption. But two cases＇ postpartum hemorrhage ,which were caused by placenta accreta and severe coagulopathy due to acute liver failure and fetal death, could not be controlled by this suture. Peripartum hysterectomy had to be performed. [Conclusion] B-Lynch suture may be effective for the control of postpartum haemorrhage caused by abnormal placenta and coagulopathy, but it can not substitute peripartum hysterectomy totally.