子宫阿氏切口联合B-Lynch缝合术在前置胎盘瘢痕子宫患者剖宫产术中的应用及对术后恢复情况的影响

The Application of Austerian Incision Combined With B-Lynch Suture in Caesarean Section For Patients with Scarred Uterus of Placenta Previa and Its Influence on Postoperative Recovery

目的探讨子宫阿氏切口联合B-Lynch缝合术在前置胎盘瘢痕子宫患者剖宫产术中的应用及对术后恢复情况的影响。方法回顾性选取2020年5月—2023年5月徐州市贾汪区人民医院收治的74例实施剖宫产手术的前置胎盘瘢痕子宫患者的临床资料,根据手术方案的不同分组,将接受双侧子宫动脉上行支结扎术治疗的患者纳入对照组(n=37),接受子宫阿氏切口联合B-Lynch缝合术治疗的患者纳入观察组(n=37),比较两组治疗有效率、手术相关指标、术后恢复情况以及不良反应发生率。结果观察组治疗总有效率(94.59%)高于对照组(75.68%),差异有统计学意义(χ^(2)=5.232,P<0.05);观察组术中、术后2 h、术后24 h出血量均少于对照组,差异有统计学意义(P均<0.05);观察组手术时间、住院时间、血性恶露时间、月经复潮时间均短于对照组,差异有统计学意义(P均<0.05);观察组总不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论前置胎盘瘢痕子宫患者剖宫产术中,采取子宫阿氏切口联合B-Lynch缝合术,可缩短手术时间,减少出血量,降低不良反应发生风险,更有利于患者术后恢复,提高治疗有效率。

Objective To investigate the application value of the combined B-Lynch suture in the treatment of caesarean section in patients with scar uterus of placenta previa.Methods The clinical data of 74 patients with placenta previa scar uterus who underwent cesarean section in the People's Hospital of Jiawang District of Xuzhou City from May 2020 to May 2023 were retrospectively selected.According to the different groups of surgical procedures,the patients who received bilateral ascending uterine artery ligation were included in the control group(n=37),and the patients who received uterine incision combined with B-Lynch suture were included in the observation group(n=37).The effective rate of treatment,surgical related indicators,postoperative recovery and incidence of adverse reactions were compared between the two groups.Results The observation group total effective rate was 94.59%,higher than 75.68%of the control group,the difference was statistically significant(χ^(2)=5.232,P<0.05).The blood loss during operation,2 h after operation and 24 h after operation in the observation were less than those in the control group,and the operation time was shorter than that in the control group,the difference was statistically significant(all P<0.05).The observation length of hospital stay,lochia bleeding time and menstrual rehydrating time in the observation group were shorter than those in the control group,the difference was statistically significant(all P<0.05).The incidence of adverse reactions n the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The application of uterus Abd incision combined with B-Lynch suture in cesarean section for patients with placenta previa scar uterus can shorten the operation time,reduce the amount of blood loss,reduce the risk of adverse reactions,and is more conducive to postoperative recovery of patients and improve the treatment efficiency.