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目的探讨B-Lynch缝合术联合阴道填塞用于剖宫产宫缩乏力性出血中的临床效果及对相关并发症的影响。方法 1686例剖宫产产妇中,宫缩乏力性出血产妇64例进行分析研究,随机分为观察组和对照组,每组32例,观察组患者采用B-Lynch缝合术联合阴道填塞进行止血,对照组采用阴道填塞进行止血,比较两组患者术后愈合情况及并发症发生情况。结果观察组患者的手术时间明显短于对照组(P<0.05),术后出血量也明显少于对照组(P<0.05),且观察组患者发生相关并发症的几率也明显低于对照组(P<0.05),而且观察组无一例患者进行子宫切除术,明显优于对照组,差异均具有统计学意义(P<0.05),且观察组患者的治疗总有效率达到了96.88%,明显优于对照组68.75%,差异具有统计学意义(P<0.05)。结论利用B-Lynch缝合术联合阴道填塞进行剖宫产宫缩乏力性出血的治疗,能够有效提高治疗效果,减少出血量,减少相关并发症,提高患者生活质量,值得临床推广应用。
Objective To investigate the clinical effect of B-Lynch suture combined with vaginal packing in uterine bleeding in cesarean section and the related complications. Methods A total of 648 women with uterine bleeding in 1686 cesarean section women were randomly divided into observation group and control group, 32 cases in each group. The observation group was treated with B-Lynch suture combined with vaginal packing to stop bleeding, The control group was treated with vaginal packing for hemostasis. The postoperative healing and complications of the two groups were compared. Results The operation time of the observation group was significantly shorter than that of the control group (P <0.05), and the amount of postoperative bleeding was also significantly less than that of the control group (P <0.05). The incidence of complications in the observation group was also significantly lower than that of the control group (P <0.05). Moreover, none of the patients in the observation group had hysterectomy, which was significantly better than that of the control group (P <0.05). The total effective rate of the observation group reached 96.88% Which was higher than 68.75% in control group, the difference was statistically significant (P <0.05). Conclusion B-Lynch suture combined with vaginal stuffing for uterine bleeding in the treatment of uterine bleeding can effectively improve the treatment effect, reduce bleeding, reduce complications, improve patient quality of life, it is worth promoting the clinical application.