改良B-lynch缝合术与经典B-lynch缝合术在处理凶险性前置胎盘中的疗效比较.docVIP

精品论文 参考文献 改良B-lynch缝合术与经典B-lynch缝合术在处理凶险性前置胎盘中的疗效比较 伍世端 梁莉 伍凤群 梁燕梅 刘婷婷 　　(广东省高要市人民医院 526060) 　　【摘要】探讨改良B-lynch缝合术与经典B-lynch缝合术在处理凶险性前置胎盘中的疗效比较。方法：回顾分析2008年1月至2013年12月在我院就诊的诊断凶险性前置胎盘病例共149例，在产妇及家属知`情同意的前提下分别采取改良B-lynch缝合术与经典B-lynch缝合术进行治疗，分为2组：(1)改良B-lynch缝合术组，共75例，于剖宫产术中在胎儿娩出后予行改良B-lynch缝合术；(2)经典B-lynch缝合术，共 74例，比较两组病例术中出血量、手术时间、产后出血量及术后恢复情况。结果：改良B-lynch缝合组术中出血量、手术时间、产后出血量，明显少于经典B-lynch缝合组，差异有统计学意义(P＜0.05)；改良 B-lynch缝合组的术后恢复情况，如术后血性恶露持续时间、体温恢复正常时间、术后月经恢复时间及月经量和经典B-lynch缝合组组无明显统计学差异 (Pgt;0.05)。结论：通过比较，改良B-lynch缝合对治疗凶险性前置胎盘治疗效果更确切，具有止血迅速、减少子宫切除机会、减少产后出血量等优点，且术后无明显并发症，值得推广。 　　【关键词】凶险性前置胎盘 改良 B-lynch缝合 　　【中图分类号】R719 【文献标识码】A 【文章编号】2095-1752（2014）17-0148-03 　　The modified B-lynch suture and B-lynch suture in treatment of dangerous placenta previa 　　【Abstract】Objective: To investigate the modified B-lynch suture and B-lynch suture in treatment of dangerous placenta previa. Methods: retrospective analysis of 2008 January to 2013 December in our hospital diagnosis of dangerous placenta previa in 149 cases, mothers and their families consent under the premise that adopted the modified B-lynch suture and B-lynch suture for treatment, divided into 2 groups: (1) the modified B-lynch suture group, CO in 75 cases, in cesarean section treated by the modified B-lynch suture in the fetus after delivery; (2) the classical B-lynch suture, a total of 74 cases, weight, operation time, hemorrhage volume and postoperative recovery, bleeding compared two groups of patients in the results: bleeding volume, operation time, the amount of postpartum hemorrhage the modified B-lynch suture group operation, significantly less than the classic B-lynch suture group, the difference was statistically significant (P lt; 0.05); the recovery of modified B-lynch suture group after operation, such as postoperative lochia rubra duration, body temperature returned to normal time, postoperative recovery time of menstruation and menstrual volu