改良B—Lynch缝合治疗剖宫产产后出血68例临床分析  

Clinical analysis of 68 cases with improved B-Lynch suture for postpartum hemorrhage of cesarean section

作　　者：徐慧[1] 周原[1] 姚莉[1] 

机构地区：[1]山东省枣庄市立医院妇产科,277101

出　　处：《中国临床实用医学》2010年第10期79-81,共3页China Clinical Practical Medicine

摘　　要：目的观察改良的B—Lynch缝合术治疗剖宫产产后出血的临床效果。方法选择我院2006年1月至2009年12月剖宫产术中发生宫缩乏力性出血病例98例，随机分为研究组68例，实施改良的B—Lynch缝合术进行治疗，对照组30例，采用传统方法治疗，观察两组手术时间、术中出血量、术中术后并发症等临床效果。结果研究组治疗有效率、手术时间、术中出血量、产褥病率等与对照组比较差异有统计学意义（P〈0．05）。无一例子宫切除，临床效果满意。结论改良的B-Lynch缝合术用于治疗剖宫产产后出血，具有操作简单、安全，止血迅速，并能保留生育功能，是治疗剖宫产产后出血的有效方法。Objective To observe the clinical efficacy of improved B-Lynch suture in the treatment of postpartum hemorrhage of cesarean section caused by uterine inertia. Methods There were 98 cases of postpartum hemorrhage during cesarean section from 2006. 1 to 2009. 12.68 cases of postpartum hemorrhage of cesarean section treated with B-Lynch suture served as the study group. 30 cases of parturient patients treated with tradition technique for postpartum hemorrhage of cesarean section were recruited as control group. Operation time, hemorrhage volume, puerperal morbidity and therapeutic efficacy between the two groups were compared. Results All cases in the study group were effectively stanched with preservation of uterine and no postoperative com- plication was found. The differences were significant for operation time, hemorrhage volume, puerperal morbidity and success rate between the study group and the control group （P 〈 0.05 ）. There was no hysterectomy in study group satisfae tory clinical results. Conclusion Improved B-Lynch suture technique is useful for its simplicity of application, life saving potential, relative safety and capacity for preserving the uterus and subsequent fertility. It is an effective treatment for postpartum hemorrhage during cesarean section.

关 键 词：剖宫产 产后出血 改良的B—Lynch缝合术 

分 类 号：R719.8[医药卫生—妇产科学]