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目的探讨剖宫产术后宫缩乏力性大出血应用改良B—Lynch缝合术的临床疗效。方法选取郑州大学第四附属医院2011年5月至2013年2月收治的剖宫产术后发生宫缩乏力性大出血的患者121例,根据处理方式的不同随机分为对照组58例和观察组63例,观察组患者应用改良B-Lynch缝合术进行治疗,对照组患者应用纱布填塞法治疗。结果经治疗后观察组患者总有效率为95.24%,对照组为75.86%,两组有统计学意义(P<0.05)。两组患者手术时间和术中出血量相比差异无统计学意义(P>0.05),观察组患者术后24h出血量均明显少于对照组,差异有统计学意义(P<0.05)。结论改良B-Lynch缝合术治疗剖宫产术后宫缩乏力性大出血是安全、有效的,操作简单,对机体损伤小。
Objective To investigate the clinical efficacy of modified B-Lynch suture in treating post-cesarean section with massive uterine bleeding. Methods Totally 121 patients with uterine atherosclerosis hemorrhage after cesarean section were treated in the Fourth Affiliated Hospital of Zhengzhou University from May 2011 to February 2013 were randomly divided into control group (58 cases) and observation group Sixty-three patients in the observation group were treated with modified B-Lynch suture. Patients in the control group were treated with gauze padding. Results After treatment, the total effective rate was 95.24% in the observation group and 75.86% in the control group, with statistical significance (P <0.05). There was no significant difference in operation time and blood loss between the two groups (P> 0.05). The bleeding volume in the observation group was significantly less than that in the control group after 24h, the difference was statistically significant (P <0.05). Conclusion Modified B-Lynch suture in the treatment of uterine bleeding after cesarean section is safe and effective, simple operation, less damage to the body.