B-Lynch子宫压迫缝合术在产后出血中的应用

Use of the B-Lynch surgical technique in postpartum hemorrhage

目的：探讨B-Lynch子宫压迫缝合术在产后大出血中的应用。方法：将本院2008年2月至2009年12月40例产后出血的患者随机分为两组：实验组（20例）应用B—Lynch子宫压迫缝合术，对照组（20例）应用常规治疗，比较两组的临床疗效。结果：实验组在出血控制子宫缩复率（90％和55％）、恶露排出干净率（90％和55％）、产后月经恢复正常率（90％和40％）等指标优于对照组，P〈0．05，且实验组无1例切除子宫。结论：B-Lynch子宫压迫缝合术在产后大出血，特别是宫缩乏力性出血有较高的临床价值。

Objective： To study the clinical value of B-Lynch surgical technique in massive postpartum hemorrhage. Methods： Forty patients with postpartum hemorrhage in our hospital between February 2008 and December 2009 were randomized into the study group （ n = 20） receiving B-Lynch surgical techique and the control group （ n = 20 ） receiving conventional treatment. The clinical efficacy of treatment was compared between the two groups. Results： Compared with the control group, excellent efficacy was achieved in the study regarding control of hemorrhage and retraction of uterus （90% vs 55% of patients）, complete clearance of of lochia （90% vs 55% ） and normal recovery of menstruation （90% vs 40% ） （ all P 〈 0. 05 ）. No case in the study group underwent hestereetomy. Conclusion： The B-Lynch surgical technique can be clinically valuable in control of massive postpartum hemorrhage ,especially in uterine atony cases.