改良B-Lynch缝扎术对于双胎剖宫产术后子宫收缩乏力性出血患者的止血临床研究

The Research of B-Lynch Suture for Uterine Atony Cesarean Postpartum Hemorrhage in Twin Preganancies

目的探讨改良B-Lynch缝扎术对于双胎剖宫产子宫收缩乏力性出血患者的止血有效性的探讨。方法选取2011年2月至2013年6月我院收治的双胎剖宫产子宫收缩乏力性出血的患者98例;随机分成对照组(49例)与实验组(49例),分别采取宫腔内填塞纱布术与改良B-Lynch缝扎术,记录两组患者的有效止血率,手术时间,出血量,术后并发症及住院时间进行对比。结果 1实验组患者的有效止血率明显高于对照组(P<0.05);2实验组患者的手术时间、出血量及术后并发症明显低于对照组(P<0.05);3住院时间两组患者间无统计学差异(P>0.05)。结论双胎剖宫产术后子宫收缩乏力性出血患者实施B-Lynch缝扎术的改良术具有效果好、止血快及并发症少等优点。

ObjectiveThe research of B-Lynch suture for postpartum hemorrhage in twin preganancies.Methods 98 cases Twins cesarean delivery patients with uterine atony cesareanfrom February 2011 to June 2013 in our hospital were selected.All the patients were randly divided into control group（49）and the experimental group（49）.The two group were taken to gauze packing intrauterine surgery and modified B-lynch srture technique.Then the Effective hemostasis rate, operative time, blood loss,postoperative complications, hospitalization between the two group patients were compared.Results Effective hemostasis rate of the experimental group was significantly higher than the control group（P〈0.05）. Operative time ,blood loss and postoperative complications of the experimental group was significantly lower than the control group（P〈0.05）. Hospitalization of the two group were no significant differece（P〉0.05）. Conclusion Modified B-lynch srture technique to the patients with cesarean uterine atony bleeding has a good effect,faster anf less bleeding complications.