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目的观察改良式B-lynch缝合术在治疗难治性产后出血的止血效果。方法选择2004年6月至2007年6月三年来发生难治性产后出血患者17例按时间逆行分为A、B组,A组为06年1月至07年6月一年半发生8例患者采用改良式B-lynch缝合术实施止血,B组为回顾性分析04年6月至05年12月一年半发生9例患者采用传统方法(缩宫剂、手法按摩子宫、创面缝合止血、宫腔填纱等)止血。结果两组患者年龄、产次、孕周、出血原因、严重程度等差异无统计学意义(P>0·05),而两组因止血方式不同所产生的治疗效果差异有统计学意义(P<0·01)。结论难治性产后出血严重威胁产妇的生命安全和健康,传统方法治疗难治性产后出血虽有一定的效果但成功率低,止血失败导致产妇危险增加和切除子宫机会增多,改良式B-lynch缝合术在治疗难治性产后出血中疗效确切,成功率高,子宫切除的机会少。
Objective To observe the hemostatic effect of modified B-Lynch suture in the treatment of refractory postpartum hemorrhage. Methods Seventeen patients with intractable postpartum hemorrhage from June 2004 to June 2007 were retrospectively divided into A and B groups. A group was treated in one and a half years from January 2006 to June 2007 Patients underwent modified B-Lynch suture to stop bleeding, Group B was retrospectively analyzed from June 2004 to December 2005 and a year and a half occurred in 9 patients using traditional methods (contractions, hand massage the uterus, wound suture hemostasis, Uterine filling, etc.) to stop bleeding. Results There was no significant difference in age, parity, gestational age, cause of bleeding and severity between the two groups (P> 0.05), but there were significant differences in the therapeutic effect between the two groups due to different hemostatic methods (P <0 · 01). Conclusion Refractory postpartum hemorrhage is a serious threat to the life safety and health of maternal. The traditional method of treatment of refractory postpartum hemorrhage has a certain effect, but the success rate is low. Hemostasis failure leads to increased maternal risk and increased uterine excision. Modified B-Lynch Suture surgery in the treatment of refractory postpartum hemorrhage in the exact effect of high success rate, fewer opportunities for hysterectomy.