子宫压迫缝合术在宫缩乏力性产后大出血治疗中的应用

Uterine compression suture in uterine atony postpartum bleeding treatment of

目的:探讨子宫压迫缝合术(即B-Lynch缝合术)对宫缩乏力性产后大出血的疗效。方法:回顾分析2011年1月至2013年6月收治的72例剖宫产后宫缩乏力性大出血患者,采用常规保守止血法无效后、使用B-Lynch缝合术进行治疗的36例患者为治疗组,使用传统双侧髂内动脉栓塞术治疗的36例患者为对照组。结果:治疗组有效者共35例,总有效率为97.22%;对照组有效者共30例,总有效率为83.33%。两组患者在总有效率、术后2h累计阴道流血量比较上,治疗组明显优于对照组。结论:子宫压迫缝合术操作简单、有效、安全,能保留子宫和生育功能,是治疗宫缩乏力性产后大出血有效的外科方法。

Objective To investigate the uterine compression suture （ i. e. B - Lynch suture） on the treatment of large hemorrhage caused by uterine atouy postpartum. Methods retrospective analysis of 2011 January to 2013 June in our hospital 72 cases of cesarean uterine atony bleeding in patients, using conventional hemostasis after invalid conservative, using B - Lynch suture for treatment of 36 patients as the treatment group, 36 cases of traditional bilateral internal iliac artery embolization in treatment of patients as control group. Results the treatment group were 35 cases, the total effective rate was 97.22% ; the control group were 30 cases, the total effective rate was 83.33%. Two groups of patients in the total efficient rate, 2 hours after the operation the cumulative amount of vaginal bleeding of comparison, the treatment group was significantly better than the control group. Conclusion uterine compression suture operation is simple, effective, safe, to preserve the uterus and fertility, is the treatment of uterine atony postpartum hemorrhage surgical method.