B-lynch缝合术对产后出血的防治效果

发布时间：2018-07-15 15:26

【摘要】：目的探讨改良B-Lynch缝合术在防治产后出血方面的临床疗效。方法选取2010年12月-2015年12月在该院产科行剖宫产手术的具有产后出血高危因素的80例患者。其中40例在剖宫产手术过程中行改良B-Lynch缝合术预防产后出血的患者设为观察组,另40例在剖宫产手术过程中采用常规子宫按摩、宫腔填塞纱条和子宫腔球囊压迫处理预防产后出血的患者设为对照组。比较两组患者的手术时间、术中出血量、产后出血量以及术后恢复情况。结果观察组患者的手术时间、术中出血量、术后24 h总出血量以及术后血红蛋白的减少量均低于对照组,差异有统计学意义(t=2.660,2.653,3.709和7.386,P=0.009,0.010,0.001和0.001);两组患者术后产褥病、宫腔黏连的发生率以及月经复潮时间的比较差异无统计学意义(P0.05);研究组术后血性恶露持续时间以及晚期产后出血发生率均低于对照组,差异有统计学意义(t=2.505,P=0.014;χ2=21.004,P=0.001)。结论改良B-Lynch缝合术操作简单,无需特殊器械和手术技巧,对于产后出血孕产妇具有显著而又快速的止血效果,且术中损伤小、术后并发症发生率低,值得临床推广。
[Abstract]:Objective to investigate the clinical effect of modified B-Lynch suture in the prevention and treatment of postpartum hemorrhage. Methods 80 patients with high risk factors of postpartum hemorrhage who underwent cesarean section from December 2010 to December 2015 were selected. Forty patients who underwent modified B-Lynch suture during cesarean section to prevent postpartum hemorrhage were set up as observation group, and 40 patients were treated with routine uterine massage during cesarean section. The patients with uterine cavity packing gauze and uterine cavity balloon compression to prevent postpartum hemorrhage were set up as control group. The operative time, intraoperative bleeding, postpartum bleeding and postoperative recovery were compared between the two groups. Results the time of operation, the amount of intraoperative bleeding, the total amount of blood loss 24 hours after operation and the decrease of hemoglobin in the observation group were lower than those in the control group, the difference was statistically significant (t = 2.660 / 2.653 / 3.709 and 7.386P _ (0.009) 0.010 ~ (-1), the puerperal diseases after operation were found in the two groups. There was no significant difference in the incidence of intrauterine adhesion and menstrual menorrhagia (P0.05), and the duration of hemorrhagic lochia and the incidence of late postpartum hemorrhage in the study group were lower than those in the control group (t = 2.505, P < 0.014; 蠂 ~ 2 = 21.004, P < 0.001). Conclusion the modified B-Lynch suture is simple, without special instruments and surgical techniques. It has a remarkable and rapid hemostatic effect for postpartum hemorrhage pregnant and parturient women, and has little injury during operation and low incidence of postoperative complications, so it is worth popularizing in clinic.
【作者单位】：天津市宁河区医院;
【分类号】：R714.461

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