论文部分内容阅读
目的探讨改良式B-lynch缝合术在治疗剖宫产产后出血的可行性。方法回顾性分析明光市人民医2009年1月-2012年8月3741例剖宫产,将宫缩乏力性产后出血的病例分为两组,研究组40例施行改良式B-lynch缝合术治疗,对照组40例采用传统方法治疗,计算两组手术时间、产后出血量、产褥病率,并观察术后及随访情况。结果产妇手术时间:研究组(55±10)min,对照组(67±15)min,两组比较差异有显著性。产后出血量:研究组(650±165)ml,对照组(905±182)ml,两组比较差异有统计学意义。产褥病率:研究组7.5%,对照组25%,两组比较差异有显著性。两组均无严重并发症。结论改良式B-lynch缝合术操作简单、安全、止血效果确切,是治疗剖宫产产后出血行之有效的止血的方法。
Objective To investigate the feasibility of modified B-Lynch suture in the treatment of hemorrhage after cesarean section. Methods Retrospective analysis Mingguang People’s Medical January 2009 - August 2012 3741 cases of cesarean section, the uterine inert postpartum hemorrhage cases were divided into two groups, the study group of 40 patients underwent modified B-Lynch suture treatment , 40 cases in control group were treated by traditional method. The operation time, postpartum hemorrhage amount and puerperal morbidity rate were calculated, and postoperative and follow-up were observed. Results Maternal operation time was 55 ± 10 min in the study group and 67 ± 15 min in the control group. There was significant difference between the two groups. Postpartum hemorrhage: the study group (650 ± 165) ml, the control group (905 ± 182) ml, the difference between the two groups was statistically significant. Puerperal morbidity rate was 7.5% in the study group and 25% in the control group, with significant difference between the two groups. No serious complications occurred in both groups. Conclusion The modified B-Lynch suture is simple, safe and has a good hemostatic effect. It is an effective method for hemostasis after cesarean section.