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目的研究新式B-Lynch缝合术在治疗剖宫产宫缩乏力性产后出血中的应用价值。方法研究组32例剖宫产术中宫缩乏力性产后出血病例采用新式B-Lynch缝合术治疗,随机选择20例剖宫产术中宫缩乏力性产后出血病例作为对照组采用传统方法治疗,对两组的手术时间、产后出血量、产褥病率以及治疗效果等方面进行对比。结果研究组病例治疗效果显著,其手术时间,产后出血量、产褥病率以及有效率与对照组比较差异有统计学意义(P>0.05),无1例因血液循环不良或再出血而行子宫切除或再次手术,无并发症发生,子宫复旧、月经复潮时间无异常。结论新式B-Lynch缝合术具有操作简单、止血迅速及安全易行等诸多优点,早应用可避免或减少输血、减少感染机会以及失血性休克、DIC的发生,并能保留生育功能,是治疗剖宫产宫缩乏力性产后出血最有效的外科止血方法。
Objective To study the application of the new B-Lynch suture in the treatment of postpartum hemorrhage due to uterine atresia. Methods 32 cases of uterine atresia during cesarean section postpartum hemorrhage cases using new B-Lynch suture treatment, 20 cases of cesarean section in the random selection of postpartum hemorrhage cases of uterine inertia as a control group treated by traditional methods, The two groups of operation time, postpartum hemorrhage, puerperal morbidity and treatment effects were compared. Results The study group had significant therapeutic effect. The operation time, postpartum hemorrhage volume, puerperal morbidity and effective rate were significantly different from those in the control group (P> 0.05). None of the cases were due to poor blood circulation or rebleeding Hysterectomy or reoperation, no complications, uterine involution, no abnormal menstruation. Conclusions The new B-Lynch suture has the advantages of simple operation, rapid hemostasis and safe and easy operation. The early application can avoid or reduce blood transfusion, reduce the chance of infection and the occurrence of hemorrhagic shock and DIC, and can preserve the reproductive function. The most effective surgical hemostasis method for postpartum hemorrhage due to uterine atony.