Blynch缝合与宫腔纱条填塞在剖宫产产后出血中的应用比较

Comparison of Blynch suture and uterine gauze packing in bleeding after cesarean section

目的分析比较Blynch缝合术和宫腔纱条填塞术在剖宫产产后出血中的临床应用效果。方法选取我院妇产科2012年1月~2015年1月剖宫产产后出血患者93例,随机分为治疗组和对照组,其中治疗组51例采用Blynch缝合术,对照组42例采用宫腔纱条填塞术,观察两组患者的手术时间、术中及术后出血量、止血时间、手术总时长及止血治疗有效率。结果治疗组的手术时间、术中出血量、术后出血量、止血时间、治疗有效率方面均优于对照组。结论 Blynch缝合治疗剖宫产产后出血创伤小、止血快、安全有效,值得临床推广应用。

Objective To compare the clinical application effects of Blynch suture and uterine gauze packing in the bleeding after cesarean section. Methods Ninety-three patients having postpartum bleeding after cesarean section in the department of gynecology and obstetrics of our hospital from January 2012 to January 2015 were selected and ran- domly divided into the treatment group and the control group. Clinical information of the two groups was not signifi- cantly different. The treatment group, consisting of 51 patients, received Blynch suture surgery, and the control group, consisting of 42 patients, received uterine gauze packing surgery. The operative time, intraoperative and postoperative bleeding amount, hemostasis time, total operative time and effective treatment rates of hemostasis of the two groups of patients were observed and compared. Results The treatment group was better than the control group in the operative time, intraoperative and postoperative bleeding amount, hemostasis time and effective treatment rate. Conclusion In the treatment of postpartum bleeding after cesarean section, Blynch suture causes minimal trauma, is fast in hemostasis and is safe and effective, thereby worthy of clinical promotion and application.