改良B-Lynch缝合法治疗产后出血的疗效分析

发布时间：2018-09-07 14:52

【摘要】：目的分析改良B-Lynch缝合法与宫腔填塞法治疗产后出血的疗效及对远期性激素水平的影响。方法选择在该院妇产科行剖宫产后发生产后出血的产妇118例作为研究对象,按照采取的止血方法不同分为接受改良B-Lynch缝合法的观察组60例,接受传统宫腔填塞止血法的对照组58例,比较两组产妇的止血效果、远期性激素水平和术后并发症等差异。结果观察组产妇接受改良B-Lynch缝合法止血的术中出血量及术后24 h阴道流血量均明显少于对照组,术后贫血发生率明显低于对照组产妇(P0.05)。观察组产妇接受改良B-Lynch缝合法止血后的血清促卵泡生成素(FSH)、促黄体生成素(LH)、雌二醇(E2)和LH/FSH等性激素水平与对照组相比,差异无统计学意义(P0.05)。观察组产妇接受改良B-Lynch缝合法止血后的宫腔感染、宫腔形态异常、治疗后大出血和子宫切除等并发症发生率均明显低于对照组(P0.05)。结论改良B-Lynch缝合法与宫腔填塞法均可有效治疗产后出血,改良B-Lynch缝合法具有止血迅速有效、术后并发症少等优点,对远期性激素的影响与宫腔填塞法相似。
[Abstract]:Objective to analyze the effect of modified B-Lynch suture and intrauterine tamponade on postpartum hemorrhage. Methods 118 cases of postpartum hemorrhage after cesarean section in our hospital were selected. According to the hemostatic method, they were divided into two groups: the observation group (n = 60) receiving modified B-Lynch suture. The hemostatic effect, long-term sex hormone level and postoperative complications were compared in 58 cases of control group treated with traditional intrauterine packing and hemostasis. Results the amount of intraoperative bleeding and vaginal bleeding 24 hours after operation in the observation group were significantly lower than those in the control group, and the incidence of anemia after operation was significantly lower than that in the control group (P0.05). The serum levels of serum follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2) and LH/FSH in the observation group after hemostasis with modified B-Lynch suture method were not significantly different from those in the control group (P0.05). The incidence of complications such as uterine cavity infection, abnormal uterine cavity morphology, massive hemorrhage and hysterectomy after treatment were significantly lower in the observation group than in the control group (P0.05). Conclusion both modified B-Lynch suture and intrauterine tamponade are effective in the treatment of postpartum hemorrhage. The modified B-Lynch suture has the advantages of rapid hemostasis and less postoperative complications. The effect of modified B-Lynch suture on long-term sex hormone is similar to that of uterine cavity tamponade.
【作者单位】：贵州省黔西南州人民医院产科;
【分类号】：R714.461

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