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目的:探讨B-Lynch外科缝扎术在治疗剖宫产术产后出血中的应用价值。方法:选择剖宫产术中产后出血行宫腔纱布填塞治疗的20例患者为宫腔填塞组(A组),行B-Lynch外科缝扎术治疗的12例患者为外科缝扎组(B组)。结果:两种方法对治疗产后出血均有效,但B组的手术时间明显短于A组;B组患者术后未发现异常发热,而A组术后发热和抗生素使用时间均较长,且可出现填塞不紧导致大出血的现象。结论:B-Lynch外科缝扎术用于剖宫产术中治疗产后出血具有手术时间短,疗效确切,并发症少等优点。
Objective: To investigate the value of B-Lynch surgical suture in the treatment of postpartum hemorrhage in cesarean section. Methods: Twenty patients undergoing cesarean section postpartum hemorrhage with uterine gauze packing were treated with intrauterine packing (group A). B-Lynch surgical suture was performed in 12 patients (group B) ). Results: Both of the two methods were effective in treating postpartum hemorrhage, but the operation time in group B was significantly shorter than that in group A. In group B, no abnormal fever was found after operation, and the duration of postoperative fever and antibiotics in group A was longer Tight packing occurs leading to the phenomenon of bleeding. Conclusion: B-Lynch surgical suture for cesarean section in the treatment of postpartum hemorrhage with short operation time, the exact effect, fewer complications and so on.