改良B-Lynch子宫缝扎术治疗剖宫产产后出血效果.docVIP

改良B-Lynch子宫缝扎术治疗剖宫产产后出血效果[摘要] 目的 探讨改良B-Lynch子宫缝扎术治疗剖宫产产后出血的临床效果。 方法 选取剖宫产产后出血产妇90例，随机分为两组，观察组47例，对照组43例，对照组给予宫腔纱布填塞法，观察组给予改良B-Lynch子宫缝扎术。比较两组患者手术时间、24 h出血量以及术后病率。 结果 观察组患者手术时间为（127.48±26.81） s，术后病率为4.26%，明显低于对照组的（202.56±37.24） s和37.21%，两组比较差异有统计学意义（P ＜ 0.05）。 结论 改良B-Lynch子宫缝扎术治疗剖宫产产后出血有效、及时而安全。 [关键词] B-Lynch子宫缝扎术；子宫捆绑术；剖宫产；产后出血 [中图分类号] R714.46+1 [文献标识码] A [文章编号] 1674-4721（2012）07（c）-0033-02 Effect of modified B-Lynch suture in the treatment of postpartum hemorrhage of cesarean GUO Qiuming The Maternal and Child Care Service Center of Maoming City in Guangdong Province, Maoming 525000, China [Abstract] Objective To discuss the effect of modified B-Lynch suture in the treatment of postpartum hemorrhage of cesarean. Methods Ninety delivery women with postpartum hemorrhage of cesarean were selected and randomly divided into two groups. There were 43 cases in the control group and 47 cases in the observation group. The control group was given the method of intrauterine packing with gauze, while the observation group was given modified B-Lynch suture. The surgery time, blood loss of 24 h and incidence of postoperation were compared between the two groups. Results The surgery time [(127.48±26.81) s] and incidence of postoperation (4.26%) in the observation group were significantly lower than those of the control group [(202.56±37.24) s and 37.21%], there were statistically significant differences between the two groups (P 0.05). Conclusion Modified B-Lynch suture is an effective, timely and safe treatment method in postpartum hemorrhage of cesarean. [Key words] Modified B-Lynch suture; Uterine binding method; Cesarean; Postpartum hemorrhage 随着经济社会的发展，越来越多的人选择剖宫产，伴随而来的是诸多并发症，产后出血即是其中之一，严重者可导致死亡[1]。本研究对47例发生产后出血的剖宫产产妇进行改良B-Lynch子宫缝扎术取得较好效果，现报道如下： 1 资料与方法 1.1 一般资料 选取2011年5月～2012年2月本院收治的剖宫产产后出血产妇90例，随机分为两组。其中，观察组47例，年龄23～35岁，平均（29.15±4.24）岁；孕次1～4次，平均（2.24±0.53）次；产次1～3次，平均（1.82±0.24）次；孕周37～41周，平均（38.53±2.81）周；剖宫产原因：产程停滞14例，臀位13例，胎儿窘迫12例，双胎8例；出血原因：宫缩乏力36例，