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目的探究改良B-Lynch缝合术联合阴道填纱治疗剖宫产后出血的临床疗效。方法选择2015年4月至2016年7月剖宫产后出血患者90例,随机分为两组,每组45例。对照组实施Bakri球囊压迫术联合阴道填纱治疗,观察组实施改良B-Lynch缝合术联合阴道填纱治疗。比较两组患者的临床疗效、手术情况、术后恢复情况、产褥病和并发症发生情况。结果观察组手术时间、输血量、住院时间、切口恢复时间、术后24 h出血量与对照组相比均有明显降低,差异有统计学意义(P<0.05);观察组临床疗效高于对照组,而产褥病发病率明显低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论改良B-Lynch缝合术联合阴道填纱治疗剖宫产后出血临床效果显著,能有效缩短治疗时间,减少术后并发症和产褥病的发生率,安全性较高,值得临床推广。
Objective To investigate the clinical efficacy of modified B-Lynch suture combined with vaginal filling in the treatment of post-cesarean section hemorrhage. Methods 90 patients with post-cesarean section hemorrhage from April 2015 to July 2016 were randomly divided into two groups (45 in each group). The control group was treated with Bakri balloon compression combined with vaginal filling, and the observation group was treated with modified B-Lynch suture combined with vaginal filling. The clinical efficacy, operative status, postoperative recovery, puerperal disease and complication were compared between the two groups. Results The operation time, blood transfusion, hospitalization time, incision recovery time and blood loss at 24 h after operation in observation group were significantly lower than those in control group (P <0.05). The clinical efficacy of observation group was higher than that of control group (P <0.05). The incidence of complication in the observation group was lower than that in the control group (P <0.05). Conclusion The improved B-Lynch suture combined with vaginal filling in the treatment of post-cesarean section bleeding has a significant clinical effect, which can effectively shorten the treatment time and reduce the incidence of postoperative complications and puerperal disease, which is safe and worthy of clinical promotion.