改良B-Lynch缝合法治疗剖宫产时宫缩乏力性产后出血的疗效

Effect of improved B-Lynch suture on postpartum hemorrhage caused by uterineinertia during cesarean section

目的:探讨改良B-Lynch缝合法治疗剖宫产时宫缩乏力性产后出血的疗效观察。方法:将本院40例因剖宫产所致的宫缩乏力性产后出血患者随机分为观察组与对照组各20例,对照组患者采用常规治疗方法,观察组患者采用改良B-Lynch缝合法治疗,比较两组患者的临床疗效。结果:对照组总有效率为95%,明显优于观察组的50%,差异有统计学意义(P<0.05);患者手术时间以及术中出血量比较,差异有统计学意义(P<0.05);两组患者术后并发症比较,差异有统计学意义(P<0.05)。结论:改良B-Lynch缝合法应用于剖宫产术时宫缩乏力性产后出血中,可明显提高止血效果,促进术后恢复。

Objective： To investigate the effect of improved B-Lynch suture on postpartum hemorrhage caused by uterine inertia during cesarean section. Methods： 40 patients with postpartum hemorrhage caused by uterine inertia during cesarean section were randomized into the observation group and control group with 20 cases in each. Patients in the control group received routine treatment,while patients in the observation group accepted improve B-Lynch suture therapy,then the clinical efficacy of patients in both groups were evaluated. Results： The total effective rate in the control group was 95%,significantly better than 50% in the observation group,which was of statistical difference（ P〈0. 05）. There was statistical difference of postoperative complications between both groups（ P〈0.05）. Conclusion： Improved B-Lynch suture can obviously improve the hemostatic effect,promote the postoperative recovery for patients with postpartum hemorrhage caused by uterine inertia during cesarean section. It can be used as the preferred treatment for patients.