B-Lynch缝合术在胎盘早剥并发子宫胎盘卒中患者中的应用价值

Application value of B-Lynch suture in patients with placental abruption complicated with uterine placental stroke

目的探讨B-Lynch缝合术在胎盘早剥并发子宫胎盘卒中患者中的应用价值。方法选取2017年1月至2019年12月在我院就诊的60例胎盘早剥并发子宫胎盘卒中患者为研究对象,按照不同治疗方式将其分为对照组(n=30)和观察组(n=30)。对照组患者采用常规缝合术进行治疗,观察组患者采用B-Lynch缝合术进行治疗。比较两组患者的术中出血量、住院时间、并发症发生情况以及新生儿窒息发生情况。结果观察组的术中出血量少于对照组,住院时间短于对照组,差异具有统计学意义(P<0.05)。观察组患者的并发症总发生率为3.33%,低于对照组的20.00%,差异具有统计学意义(P<0.05)。观察组新生儿的总窒息率为3.33%,低于对照组的23.33%,差异具有统计学意义(P<0.05)。结论给予胎盘早剥并发子宫胎盘卒中患者B-Lynch缝合术,可显著降低患者的术中出血量,缩短其住院时间,降低并发症发生率和新生儿窒息率,临床应用价值较高。

Objective To explore the application value of B-Lynch suture in patients with placental abruption complicated with uterine placental stroke.Methods Sixty cases of placental abruption complicated with uterine placental stroke diagnosed in our hospital from January 2017 to December 2019 were selected as the research objects and divided into control group(n=30)and observation group(n=30)according to different treatment methods.The control group was treated with conventional suture,and the observation group was treated with B-Lynch suture.The volume of intraoperative blood loss,hospital stay,complications and neonatal asphyxia were compared between the two groups.Results The volume of intraoperative blood loss of the observation group was less than that of the control group,the hospitalization time was shorter than that of the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was 3.33%,which was lower than 20.00%of the control group,and the difference was statistically significant(P<0.05).The total neonatal asphyxia rate of the observation group was 3.33%,which was lower than 23.33%of the control group,and the difference was statistically significant(P<0.05).Conclusion B-Lynch suture for patients with placental abruption complicated with uterine placental stroke can significantly reduce the volume of intraoperative blood loss,shorten the hospital stay,reduce the incidence of complications and neonatal asphyxia rate,with high clinical application value.