改良B-Lynch缝合术治疗剖宫产术中宫缩乏力性出血

Clinical value of Improved B-Lynch suture in treatment of cesarean section uterine inertia bleeding

目的探讨剖宫产孕妇因宫缩乏力出现产后出血的患者应用改良B-Lynch缝合术治疗的临床疗效。方法选择商丘市妇幼保健院2009年3月至2013年6月收治的因剖宫产出现宫缩乏力性产后出血的患者101例,根据处理方式的不同随机分为对照组50例和观察组51例,对照组患者采用纱条填塞法等传统疗法进行治疗;观察组采用改良B-Lynch缝合术进行治疗。结果对照组患者治疗总有效率为76.00%;观察组患者为94.12%两组治疗效果组间比较有显著性差异(P<0.05)。观察组患者无子宫切除者,对照组患者3例子宫切除(6.00%),观察组手术时间、平均术中出血量和术后24h出血量均明显少于对照组,差异有统计学意义(P<0.05)。结论改良B-Lynch缝合术应用于剖宫产手术出现的宫缩乏力性产后出血止血效果好,操作简单,是行之有效的治疗方法。

Objective To investigate the clinical efficacy ofcesarean pregnant patients with postpartum hemorrhage due to uterine inertia occurs using a modified B - Lynch suture in the treatment. Methods From March 2009 to June 2013 pa- tients were treated by cesarean section appear Postpartum hemorrhage 101 cases, according to the different treatment of randomly divided into a control group of 50 patients, and the observation group 51 patients in the control group were trea- ted with traditional therapies such as gauze method for treatment; Observation group with modified B - Lynch suture treatment. Results The treatment of patients in the control group, the total efficiency of 76.00% ; observation group were 94. 12%. There are more significant differences （ P 〈 0.05 ） between the two treatment groups. The patients without hysterectomy who control patients three examples hysterectomy （6.00%） was observed in opera- tive time, mean blood loss and postoperative bleeding 24 hours were significantly less than the control group, the difference was statistically significant （ P 〈 0.05 ）. Conclusion The modified B - Lynch suture used in cesarean uterine surgery appears postpartum hemorrhage hemostatic effect, simple operation, is an effective method of treat- ment.