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目的:探讨改良B-Lynch缝扎术治疗剖宫产术中宫缩乏力性产后出血的临床疗效。方法:对58例剖宫产术中出现宫缩乏力性出血的患者分为治疗组(30例),对照组(28例)。对照组行传统方法如按摩子宫,药物治疗,宫腔填塞,8字缝合等;治疗组行改良B-Lynch缝扎术治疗,观察止血效果。结果:对照组(28例)患者治疗后止血效果欠佳,出血较多,其中1例切除子宫。治疗组(30例)患者治疗后,止血效果满意,无并发症。结论:改良B-Lynch术治疗剖宫产术中宫缩乏力性产后出血疗效显著,值得临床推广。
Objective: To investigate the clinical efficacy of modified B-Lynch suture in the treatment of uterine atony after cesarean section. Methods: 58 patients with uterine bleeding in cesarean section were divided into treatment group (30 cases) and control group (28 cases). Control group traditional methods such as massage the uterus, medication, uterine packing, 8-suture; treatment group modified B-Lynch suture treatment, to observe the bleeding effect. Results: The control group (28 cases) had poor hemostasis and bleeding after treatment, of which 1 case had the uterus removed. Treatment group (30 patients) after treatment, hemostatic effect is satisfactory, no complications. Conclusion: Modified B-Lynch operation in the treatment of uterine atony after cesarean section postpartum hemorrhage significant effect, worthy of clinical promotion.