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目的:观察剖宫产术中预防性行B-Lynch缝合术对减少术中出血量、预防产后出血的效果。方法:回顾性分析行剖宫产分娩的孕产妇218名,随机分为研究组108例行剖宫产术+预防性B-Lynch缝合术,对照组110例为普通剖宫产术,比较两组产妇术中出血量、术前术后血红蛋白变化以及产后出血发生率。结果:研究组产妇术中出血量(332±56)ml,术前术后血红蛋白差(8.3±2.8)g/L和产后出血发生率3.7%;对照组产妇术中出血量(495±58)ml,术前术后血红蛋白差(16.9±3.2)g/L和产后出血发生率11.8%,两组产妇差异均有统计学意义(P<0.05)。结论:剖宫产术中预防性行B-Lynch缝合术可以有效减少术中出血量及预防产后出血的发生。
Objective: To observe the effect of preventive line B-Lynch suture in cesarean section to reduce intraoperative blood loss and prevent postpartum hemorrhage. Methods: A total of 218 pregnant women who were delivered by cesarean section were retrospectively analyzed. 108 cases of cesarean section and prophylactic B-Lynch suture were randomly divided into study group and 110 cases of control group as normal cesarean section. Group maternal blood loss, hemoglobin before and after surgery and the incidence of postpartum hemorrhage. Results: The bleeding volume of the study group was 332 ± 56 ml, the preoperative and postoperative hemoglobin difference was 8.3 ± 2.8 g / L and the incidence of postpartum hemorrhage was 3.7%. In the control group, the bleeding volume was 495 ± 58, ml, preoperative and postoperative hemoglobin difference (16.9 ± 3.2) g / L and postpartum hemorrhage incidence of 11.8%, the difference was statistically significant (P <0.05). Conclusion: Preoperative B-Lynch suture in cesarean section can effectively reduce intraoperative blood loss and prevent postpartum hemorrhage.