宫腔球囊压迫、B—Lynch缝合术用于剖宫产产后出血急救的临床效果分析

Uterine cavity balloon compression and B-Lynch suture in treatment of postpartum hemorrhage after cesarean section

目的探讨宫腔球囊压迫、B-Lynch缝合术用于剖宫产产后出血急救的临床效果。方法选取本院2014年3月至2015年12月妇产科救治的179例剖宫产产后出血妇女作为研究对象，根据止血方法分为宫腔球囊压迫组98例、B-Lynch缝合术81例，对比两种手术方法的止血效果。结果宫腔球囊压迫组的手术时间长于B-Lynch缝合组，差异具有统计学意义（P〈0．05）；宫腔球囊压迫组的即刻止血率、术后24h的血红蛋白水平均显著高于B-Lynch缝合组，差异具有统计学意义（P〈0．05）；宫腔球囊压迫组的术中出血量、术后24h出血量、输血量均显著低于B-Lynch缝合组，差异具有统计学意义（P〈0．05）；宫腔球囊压迫组的子宫切除率、术后病率显著低于B-Lynch缝合组，差异具有统计学意义（P〈0．05）；宫腔球囊压迫组的住院时间显著的低于B-Lynch缝合组，差异具有统计学意义（P〈0．05）。结论剖宫产产后出血急救采用宫腔球囊压迫止血效果优于B-Lynch缝合术。

Objective To explore the clinical effects of uterine cavity balloon compression and B-Lynch suture in the treatment of postpartum hemorrhage after cesarean section. Methods 179 patients with postpartum hemorrhage after cesarean section treated at our department from March, 2013 to December, 2015 were selected as study objects and were divided into a balloon compression group （n=98） and a B-lynch group （n=81） according to hemostatic methods. The balloon compression group were treated with uterine cavity balloon compression and the B-lynch group B-lynch suture. The hemostatic effects were compared between these two groups. Results The operation time was longer, immediate hemostasis rate and hemoglobin level 24 h after operation were higher, the intraoperative bleeding volume, bleeding volume 24 h after operation, blood transfusion volume, uterus resection rate, and postoperative disease rate were significantly lower, and the hospital stay was shorter in the balloon compression group than in the B-Lynch group, with statistical differences （P 〈 0.05）. Conclusion Uterine cavity balloon compression in the treatment of postpartum hemorrhage after cesarean section is more effective than B-Lynch suture.