Hayman与B-Lynch缝合术治疗产后出血效果的meta分析

Hayman and B-Lynch suture in the treatment of postpartum hemorrhage:a meta-analysis

目的系统评价Hayman与B-Lynch缝合术治疗产后出血的效果。方法通过计算机检索PubMed、Embase、WebofScience、知网、万方数据库,检索时间为建库至2024年1月,搜集Hayman与B-Lynch缝合术治疗产后出血的随机对照试验和队列研究,采用Rev Man 5.3软件进行meta分析。结果经筛选最终纳入7篇文献,共525例患者。meta分析结果显示,试验组剖宫产手术时间较对照组短[MD=-15.99,95%CI(-19.99,-12.00),P<0.00001],剖宫产术中出血量较对照组少[MD=-252.13,95%CI(-325.39,-178.88),P<0.00001],剖宫产分娩后24 h内阴道出血量较对照组少[MD=-196.93,95%CI(-285.90,-107.95),P<0.0001],剖宫产术后并发症发生率较对照组低[OR=0.20,95%CI(0.10,0.40),P<0.00001]。结论Hayman缝合术治疗产后出血的效果优于B-Lynch缝合术。

Objective To systematically evaluate the effect of Hayman and B-Lynch suture in the treatment of postpartum hemorrhage.Methods Randomized controlled trials and cohort studies of Hayman and B-Lynch suture in the treatment of postpartum hemorrhage were retrieved from PubMed,Embase,Web of Science,CNKI and Wanfang database from the establishment of the database to January 2024.RevMan 5.3 software was used for meta-analysis.Results Seven papers with 525 patients were screened for final inclusion.The results of meta-analysis showed that the operation time of cesarean section in the experimental group was shorter than that in the control group(MD=-15.99,95%CI[-19.99,-12.00],P<0.00001),and the amount of bleeding during cesarean section was less than that in the control group(MD=-252.13,95%CI[-325.39,-178.88],P<0.00001),the amount of vaginal bleeding within 24 hours after cesarean delivery was less than that in the control group(MD=-196.93,95%CI[-285.90,-107.95],P<0.0001),and the incidence of complications after cesarean section was lower than that in the control group(OR=0.20,95%CI[0.10,0.40],P<0.00001).Conclusion The effect of Hayman suture in the treatment of postpartum hemorrhage is better than that of B-Lynch suture.