改良B-lynch缝合术治疗剖宫产术中难治性产后出血疗效观察

Clinical Observation on Modified B-lynch Suture in the Treatment of Intractable Postpartum Hemorrhage in Cesarean Section

目的探讨采用改良B-lynch缝合术治疗剖宫产手术中难治性产后出血的疗效。方法选取我院剖宫产产妇68例作为研究对象。全部产妇均出现剖宫产中难治性产后出血的情况,均符合诊断标准。对照组采用常规宫腔填塞纱布术;实验组采用改良B-lynch缝合术。观察两组患者的疗效。结果实验组患者术中、术后48 h的出血量、术后并发症、手术时间、治疗效果等均优于对照组患者,差异具有统计学意义(P<0.05)。结论改良B-lynch缝合术处理难治性产后出血止血效果显著,安全性高。

Objective To explore the effect of modified B-lynch suture in the treatment of intractable postpartum hemorrhage in caesarean section. Methods 68 cases of caesarean birth parturient in our hospital were selected as the research subjects. All parturients appeared in caesarean section with intractable postpartum hemorrhage, which were all in accordance with the diagnostic criteria. The control group was treated with conventional intrauterine tamponade, and the experimental group was treated with improved B-lynch suture. The effect of two groups of patients was observed. Results The bleeding volume, postoperative complications, operative time and treatment effect in the experimental group were significantly better than those in the control group at 48 h after operation, and the difference was statistically significant（P〈 0.05）. Conclusion The effect of modified B-lynch suture in treating intractable postpartum hemorrhage is significant and safe.