B-Lynch缝合术联合药物治疗剖宫产术中宫缩乏力性出血患者的效果

Effects of B-Lynch suture combined with medicinal treatment on patients with uterine atonic bleeding during cesarean section

目的:观察B-Lynch缝合术联合药物治疗剖宫产术中宫缩乏力性出血患者的效果。方法:选择82例剖宫产术中宫缩乏力性出血患者为研究对象,依据随机数字表法分为观察组和对照组各41例。对照组采用缩宫素联合卡前列素氨丁三醇治疗,观察组在对照组基础上联合B-Lynch缝合术治疗。比较两组产后2 h出血量、产后24 h出血量、并发症发生率及子宫切除率。结果:两组产后2 h出血量比较,差异无统计学意义(P>0.05);观察组产后24 h出血量低于对照组,差异有统计学意义(P<0.05);术后两组并发症发生率比较,差异无统计学意义(P>0.05);观察组子宫切除率为0,低于对照组的12.20%,但差异无统计学意义(P>0.05)。结论:B-Lynch缝合术联合药物治疗剖宫产术中宫缩乏力性出血效果显著,可有效减少产后24 h出血量,促进患者康复,且不会提升术后并发症风险,还可降低子宫切除风险。

Objective: To explore effects of B-Lynch suture combined with medicinal treatment on patients with uterine atonic bleeding during cesarean section. Methods: 82 patients with uterine atonic bleeding during cesarean section were selected as the research objects, and were divided into observation group and control group according to the random number table method, 41 cases in each group. The control group was treated with Oxytocin combined with Carboprost tromethamine, while the observation group was treated with B-Lynch suture on the basis of those of the control group. The 2 h postpartum bleeding volume, 24 h postpartum bleeding volume, complication rate and hysterectomy rate were compared between the two groups. Results: There was no significant difference in the 2 h postpartum bleeding volume between the two groups(P>0.05). The 24 h postpartum bleeding volume in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). There was no significant difference in the complications rate between the two groups after the surgery(P>0.05). Further, the hysterectomy rate in the observation group was 0, which was lower than 12.20% in the control group, and the difference was not statistically significant(P>0.05). Conclusions: For the patients with uterine atonic bleeding during cesarean section, B-Lynch suture combined with medicinal treatment is significantly effective. It can effectively reduce the 24 h postpartum bleeding volume and promote the patients’ recovery without increasing the risk of the postoperative complications. Moreover, it can reduce the risk of hysterectomy.