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目的探讨改良式B-Lynch缝扎术在剖宫产术中治疗难治性宫缩乏力出血的疗效。方法回顾性分析2003年-2007年我院1000例剖宫产术中发生的难以控制的20例大出血的处理:术中10例行改良式B-Lynch缝扎术,8例行纱布条宫腔填塞,其中一例为术后填塞,2例行次全子宫切除(均为羊水栓塞发生弥散性血管内凝血)。结论对于难治性宫缩乏力性出血改良式B-Lynch缝扎术有显著疗效,方法简单迅速,并发症少,使部分产妇免于切除子宫,保留了生育功能,值得在各级产科医疗机构中推广使用。
Objective To investigate the curative effect of modified B-Lynch suture in the treatment of refractory uterine inertia in cesarean section. Methods A retrospective analysis of 1000 cases of cataract surgery in our hospital between 2003 and 2007, which were difficult to control the treatment of 20 cases of hemorrhage: 10 cases underwent modified B-Lynch suture and 8 cases underwent gauze uterine cavity Filling, one case of postoperative stuffing, 2 cases of subtotal hysterectomy (both amniotic fluid embolism diffuse intravascular coagulation). Conclusions The improved B-Lynch suture for refractory uterine bleeding has a significant effect, the method is simple and rapid, fewer complications, so that part of the women from the uterus removed, retained reproductive function, it is worth at all levels of obstetric medical institutions In the promotion and use.