目的分析子宫B-Lynch缝合在处理不同原因导致的剖宫产产后出血的有效性。方法产后出血34例产妇采用B-Lynch缝合,无效者合并子宫动脉缝扎或髂内动脉结扎。结果34例中,子宫B-Lynch缝合控制产后出血有效26例(76.5%),捆绑缝合无效者加用子宫动脉缝扎或髂内动脉结扎8例(23.5%)。而宫缩乏力导致的产后出血26例中,使用子宫B-Lynch缝合有效者21例,有效率为80.7%。结论子宫B-Lynch缝合具有操作简单、止血迅速的优点,对于难治性产后大出血可合并应用子宫动脉缝扎或髂内动脉结扎而达到保全子宫、挽救产妇生命的目的。 Objective To analyze the effectiveness of uterine B-Lynch suturing in treating post-cesarean section bleeding due to various causes. Methods Postpartum hemorrhage 34 maternal B-Lynch suture, ineffective with uterine artery suture or internal iliac artery ligation. Results Among the 34 cases, 26 cases (76.5%) were effective in controlling postpartum hemorrhage by uterine B-Lynch suturing, 8 cases (23.5%) were tied by uterine artery suture or internal iliac artery ligation. Twenty-six cases of postpartum hemorrhage caused by uterine inertia, the use of uterine B-Lynch suture effective in 21 cases, the effective rate was 80.7%. Conclusion The uterus B-Lynch suture has the advantages of simple operation and rapid hemostasis. It can be combined with uterine artery suture or internal iliac artery ligation for refractory postpartum hemorrhage to save the uterus and save the lives of mothers.