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目的探讨剖宫产孕妇因宫缩乏力出现产后出血的患者应用改良B-Lynch缝合术治疗的临床疗效。方法选择商丘市妇幼保健院2009年3月至2013年6月收治的因剖宫产出现宫缩乏力性产后出血的患者101例,根据处理方式的不同随机分为对照组50例和观察组51例,对照组患者采用纱条填塞法等传统疗法进行治疗;观察组采用改良B-Lynch缝合术进行治疗。结果对照组患者治疗总有效率为76.00%;观察组患者为94.12%两组治疗效果组间比较有显著性差异(P<0.05)。观察组患者无子宫切除者,对照组患者3例子宫切除(6.00%),观察组手术时间、平均术中出血量和术后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缝合术应用于剖宫产手术出现的宫缩乏力性产后出血止血效果好,操作简单,是行之有效的治疗方法。
Objective To investigate the clinical effect of modified B-Lynch suture in patients with postpartum hemorrhage due to uterine inertia in pregnant women with cesarean section. Methods 101 cases of uterine bleeding in patients with uterine contractions due to cesarean section were selected in Shangqiu MCH hospital from March 2009 to June 2013. According to the different treatment methods, 50 cases were randomly divided into control group and observation group For example, patients in the control group were treated with traditional methods such as gauze packing; the observation group was treated with modified B-Lynch suture. Results The total effective rate was 76.00% in the control group and 94.12% in the observation group. There was significant difference between the two groups (P <0.05). The patients in the observation group had no hysterectomy and the control group had 3 cases of hysterectomy (6.00%). The operation time, mean blood loss during operation and 24h after operation in the observation group were significantly less than those in the control group (P <0.05). Conclusion The modified B-Lynch suture applied to cesarean section appears the uterine inert postpartum hemorrhage bleeding effect is good, simple operation, is an effective treatment.