改良B-Lynch缝合术联合阴道填纱治疗剖宫产后出血的疗效及安全性

Curative effect and security of improved b- lynch combined with vaginal plug yarn on postpartum hemorrhage of cesarean section

目的:探讨改良B-Lynch缝合术联合阴道填纱治疗剖宫产后出血的疗效及安全性。方法:选择在我院住院治疗的剖宫产后出血产妇共86例,随机分为观察组和对照组。观察组产妇采用改良BLynch缝合术联合阴道填纱,对照组采用球囊压迫联合阴道填纱。观察两组产妇的手术时间、术后24h出血量、输血量、产褥病率、切口恢复时间、住院时间、疗效及并发症。结果:观察组手术时间、术后24h出血量、输血量均少于对照组(P<0.05);观察组切口恢复时间、住院时间均少于对照组(P<0.05);观察组产褥病发生率低于对照组(P<0.05);观察组治疗有效率明显高于对照组(P<0.05);两组产妇治疗后并发症比较无统计学差异(P>0.05)。结论:采用改良B-Lynch缝合术联合阴道填纱治疗剖宫产后出血能快速的达到止血效果,疗效显著,有利于患者恢复,并发症发生率与传统方法相当,是一种安全有效的治疗方法。

Objectives：To discuss curative effect and security of improved B-Lynch combined with vaginal plug yarn on postpartum hemorrhage of cesarean section.Methods：86 cases of postpartum hemorrhage of cesarean section received the medical treatment in the hospital were selected and divided into observation group and control group randomly.The observation group was given improved B-Lynch combined with vaginal plug yarn,while the control group was given balloon compression combined with vaginal plug yarn.The operation time,amount of bleeding 24 hours after operation,blood transfusion amount,puerperal morbidity,recovery time of incision,length of stay （LOS）,curative effect and complication of two groups were observed.Results：The operation time,amount of bleeding 24 hours after operation and blood transfusion amount of observation group were shorter or less than those in control group （P〈0.05）.The recovery time of incision and LOS of observation group were shorter than those in control group.The puerperal morbidity of observation group was lower than that in control group,and the effective rate of observation group was much higher than that in control group.Complication of two groups after medical treatment had no statistical difference.Conclusion：The improved B-Lynch combined with vaginal plug yarn has rapid hemostatic effect on postpartum hemorrhage of cesarean section,with significant curative effect,favorable effect for recovery and comparative occurrence rate of complication,which is a safe and effective treatment method.