改良B―Lynch缝合术联合阴道填纱治疗剖宫产后出血的疗效及安全性.docVIP

改良B―Lynch缝合术联合阴道填纱治疗剖宫产后出血的疗效及安全性 　　【摘要】目的：探讨改良B-Lynch缝合术联合阴道填纱治疗剖宫产后出血的疗效及安全性。方法：选择在我院住院治疗的剖宫产后出血产妇共86例，随机分为观察组和对照组。观察组产妇采用改良B-Lynch缝合术联合阴道填纱，对照组采用球囊压迫联合阴道填纱。观察两组产妇的手术时间、术后24h出血量、输血量、产褥病率、切口恢复时间、住院时间、疗效及并发症。结果：观察组手术时间、术后24h出血量、输血量均少于对照组（P0.05）。结论：采用改良B-Lynch缝合术联合阴道填纱治疗剖宫产后出血能快速的达到止血效果，疗效显著，有利于患者恢复，并发症发生率与传统方法相当，是一种安全有效的治疗方法 【关键词】剖宫产后出血；改良B-Lynch缝合术；宫内球囊压迫术；阴道填纱 Curative effect and security of improved b-lynch combined with vaginal plug yarn on postpartum hemorrhage of cesarean sectionWANG Xi1， WANG Xiaoqiu2. 1.Department of Obstetrics and Gynecology， Longwan District First Peoples Hospital， Wenzhou 325024， Zhejiang， China； 2.Department of Obstetrics and Gynecology， The Third Hospital Affiliated to Wenzhou Medical University， Ruian People’s Hospital， Wenzhou 325200， Zhejiang， China 【Abstract】Objectives： To discuss curative effect and security of improved B-Lynch combined with vaginal plug yarn on postpartum hemorrhage of cesarean section. Methods： 86 cases of postpartum hemorrhage of cesarean section received the medical treatment in the hospital were selected and divided into observation group and control group randomly. The observation group was given improved B-Lynch combined with vaginal plug yarn， while the control group was given balloon compression combined with vaginal plug yarn. The operation time， amount of bleeding 24 hours after operation， blood transfusion amount， puerperal morbidity， recovery time of incision， length of stay （LOS）， curative effect and complication of two groups were observed. Results： The operation time， amount of bleeding 24 hours after operation and blood transfusion amount of observation group were shorter or less than those in control group （P 　　【中图分类号】R714.6【文献标志码】A 剖宫产后出血是产科急重症之一，其常由于凝血功能障碍、产道损伤、宫缩乏力、胎盘因素等造成[1]。剖宫产后出血如不及时治疗危害较大，可能造成患者切除子宫甚至死亡，有研究显示其是造成孕产妇死亡的首要病因[2]。以往临床上常采用宫内球囊压迫术与阴道填纱治疗剖宫产后出血，效果一般，近年来临床开始采用改良B-Lynch缝合术治疗剖宫产后出血，效果佳[3]。本研究观察了改良B-Lynch缝合术联合阴道填纱治疗剖宫产后出血的疗效及安全性，并与宫内球囊压迫术联合阴道填纱治疗进行比较。现报告如下 1资料与方法 1.1一