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目的分析B-Lynch缝合术与垂直子宫缝合术对于难治性产后出血的疗效。方法收集2013年9月至2015年2月于云浮市中医院进行分娩的36例难治性产后出血患者作为观察对象。根据不同的手术止血方式分为观察组(n=20)和对照组(n=16)。观察组产妇应用B-Lynch缝合术治疗,对照组产妇应用垂直子宫缝合术治疗。结果观察组产妇术后24 h及术中出血量均低于对照组产妇,差异有统计学意义(P<0.05)。观察组产妇手术治疗时间、下床活动时间、住院治疗时间均低于对照组产妇,差异均有统计学意义(P<0.05)。观察组产妇的产褥并发症发生率少于对照组产妇,而子宫保留率高于对照组,且观察组产妇产后6周月经复潮率高于对照组产妇,差异均有统计学意义(P<0.05)。结论 B-Lynch缝合术用于难治性产后出血效果显著,能有效提高产妇子宫保留率,且并发症发生率低。
Objective To analyze the curative effect of B-Lynch suture and vertical uterine suture on refractory postpartum hemorrhage. Methods Thirty-six patients with intractable postpartum hemorrhage who were delivered at Yunfu Hospital of Traditional Chinese Medicine from September 2013 to February 2015 were collected as observation subjects. According to different methods of operation hemostasis, the patients were divided into observation group (n = 20) and control group (n = 16). The observation group maternal application of B-Lynch suture treatment, the control group of maternal application of vertical uterine suture treatment. Results The observation group maternal 24 h after operation and intraoperative bleeding were lower than the control group maternal, the difference was statistically significant (P <0.05). The observation group maternal operation time, out of bed activity, hospitalization time were lower than the control group maternal, the difference was statistically significant (P <0.05). The incidence of puerperal complications in the observation group was less than that in the control group, while the retention rate in the uterus was higher than that in the control group. The wasting rate in the observation group was significantly higher than that in the control group at 6 weeks postpartum (P <0.05). Conclusion B-Lynch suture for the treatment of refractory postpartum hemorrhage was effective, can effectively improve the retention rate of uterine maternal, and the incidence of complications is low.