子宫动脉上行支结扎联合B―Lynch缝合术在剖宫产产后出血中应用.docVIP

子宫动脉上行支结扎联合B―Lynch缝合术在剖宫产产后出血中应用 　　[摘要] 目的 研究子宫动脉上行支结扎联合B-Lynch缝合术在剖宫产产后出血中的临床应用价值。 方法 将该院86例剖宫产产后出血患者以随机数表法分为观察组与对照组，均为43例，观察组采取子宫动脉上行支结扎联合B-Lynch缝合术止血，对照组给予米索前列醇、卡前列素氨丁三醇治疗，比较两组术中、术后出血率，输血情况及产褥病发生率。 结果 观察组术中、术后出血量分别为（543.03±206.37）mL、（93.53±28.15）mL，均显著低于对照组（672.58±310.98）mL、（146.28±85.03）mL，对比差异有统计学意义（P0.05）。观察组输血率、产褥病率分别9.31%、6.98%，显著低于对照组27.91%、23.26%，对比差异有统计学意义（P0.05）。 结论 子宫动脉上行支结扎联合B-Lynch缝合术治疗剖宫产产后出血效果显著，可减少出血量，避免输血，具有较高的临床应用价值。 　　[关键词] 子宫动脉上行支结扎；B-Lynch缝合术；剖宫产；出血 　　[中图分类号] R59 [文献标识码] A [文章编号] 1674-0742（2015）05（b）-0026-02 　　Application of Ascending Branch of Uterine Artery Ligation Combined with B-Lynch Suture in Postpartum Hemorrhage of Cesarean Section 　　BAI Lili 　　Department of Perinatal Health Care， Hospital of Traditional Chinese Medicine in Luohe ， Luohe， Henan Province， 462000 China 　　[Abstract] Objective To study the value of clinical application of ascending branch of uterine artery ligation combined with B-Lynch suture technique for postpartum hemorrhage in cesarean section. Methods 86 cases of postpartum hemorrhage of cesarean section patients were divided into observation group （n=43） and control group （n=43） according to random number table method. Ascending branch of uterine artery ligation combined with B-Lynch suture hemostasis was performed in observation group， while misoprostol and carboprost ammonia butyl alcohol three treatment was used in the control group， and hemorrhage rate during and after operation ， the incidence of transfusion and puerperal disease were compared between the two groups. Results In observation group， hemorrhage rate during operation （543.03±206.37） mL and that after operation （93.53±28.15） ml， were significantly lower than those of the control group （672.58±310.98） mL， （146.28±85.03） mL， and the differences were statistically significant （P0.05）The blood transfusion rate，9.31%， and puerperal morbidity，6.98%， in observation group were significantly lower than those，27.91% and 23.26% ，in control group ， and