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目的探讨改良的B-Lynch缝合术治疗剖宫产术中宫缩乏力性产后出血的临床效果。方法选择我院2008年1月-2010年12月剖宫产术中宫缩乏力性产后出血病例38例,实施改良的B-Lynch缝合术16例为观察组,采用传统方法治疗22例为对照组,观察两组手术时间、术中出血量、输血率等临床指标。结果观察组治疗有效率100%、手术时间(43.78±13.20)min、术中出血量(819.45±293.20)ml、输血率18.75%;对照组治疗有效率90.1%、手术时间(70.16±19.72)min、术中出血量(1256.84±598.34)ml、输血率54.5%;两组比较差异有统计学意义(P<0.05)。结论改良的B-Lynch缝合术操作简单、安全,止血迅速,并能保留生育功能,是治疗剖宫产术中发生宫缩乏力性出血的有效方法。
Objective To investigate the clinical effect of modified B-Lynch suture in the treatment of uterine atony after cesarean section. Methods 38 cases of uterine atony after cesarean section in our hospital from January 2008 to December 2010 were selected, 16 cases were treated with modified B-Lynch suture as observation group, 22 cases were treated by traditional method Group, observe the operation time, blood loss, transfusion rate and other clinical indicators. Results The effective rate of the observation group was 100%, the operation time was 43.78 ± 13.20 min, the intraoperative blood loss was (819.45 ± 293.20) ml and the blood transfusion rate was 18.75%. In the control group, the effective rate was 90.1% and the operation time was 70.16 ± 19.72 min , Blood loss (1256.84 ± 598.34) ml and blood transfusion rate 54.5%. There was significant difference between the two groups (P <0.05). Conclusion The modified B-Lynch suture is simple, safe and quick to stop bleeding, and can retain the reproductive function. It is an effective method to treat uterine atony bleeding during cesarean section.