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目的探讨改良B-Lynch缝合术治疗前置胎盘剖宫产术中大出血的临床效果。方法对23例前置胎盘患者剖宫产术中应用局部缝扎+改良B-lynch缝合术。结果 23例患者缝扎后子宫下段活动性出血完全停止,无术后再出血而行剖腹探查或切除子宫。成功保留了子宫,术后随访未发现远期并发症。结论改良B-lynch缝合术具有操作简单、手术时间短、损伤小且能保留子宫的特点,值得临床推广应用。
Objective To investigate the clinical effect of modified B-Lynch suture in the treatment of major bleeding in cesarean section of placenta previa. Methods 23 cases of placenta previa patients with cesarean section application of local suture + modified B-Lynch suture. Results Twenty-three patients with active uterine bleeding completely stopped after suture. No postoperative bleeding and laparotomy were performed or the uterus was removed. Successfully retained the uterus, no long-term complications were found after follow-up. Conclusion Improved B-Lynch suture has the advantages of simple operation, short operation time, small damage and can retain the uterus, which is worthy of clinical application.