改良B—Lynch缝合术预防剖宫术患者产后出血的疗效观察  

Clinical observation of improved B-lynch suture in the prevention of postpartum hemorrhage after caesarean section

作　　者：王芳 

机构地区：[1]河南省中牟县中医院,451450

出　　处：《中国实用医刊》2014年第13期15-17,共3页Chinese Journal of Practical Medicine

摘　　要：目的观察改良B-Lynch缝合术对预防有高危因素存在时剖宫术患者产后出血的疗效。方法2011年10月至2012年9月观察组120例患者行剖宫产术＋改良B-Lynch缝合术；2010年10月至2011年9月对照组124例患者行剖宫产术后＋宫腔填塞术。比较两组的平均手术时间、缝合或填塞时间、平均出血量、术后住院天数、有效率、子宫切除率、子宫复旧良好率等。结果观察组平均手术时间、缝合或填塞时间及术后住院天数均短于对照组（P均〈0．01）；观察组患者术中、术后平均出血量少于对照组（P〈0．叭）；观察组的有效率高于对照组（x。=14．247，P〈0．01），观察组子宫切除率低于对照组（X2=14．247，P〈0．01）；产后42d随访B超复查，观察组子宫复旧良好率高于对照组（x2=4．3098，P〈0．05）。结论改良B-Lynch缝合术用于预防有高危因素存在的剖宫术患者产后出血具有手术时间短、止血迅速、并发症少、子宫复旧良好等优点，疗效优于宫腔填塞术。Objective To observe the efficacy of improved B-lynch suture on the prevention of postpartum hemorrhage after caesarean section in patients with high-risk factors exist. Methods From October 2011 to September 2012,120 patients in the observation group received cesarean section ＋ im- proved B-lynch suture. From October 2010 to September 2011, 124 patients as the control group received cesarean section ＋ uterine packing. The differences of the mean operation time, the mean stitching or fill time, the mean amount of bleeding, the mean hospital day after surgery, the efficiency, the hysterectomy rates, the rates of uterine involution good between the two groups were compared. Results The mean operation time, the mean stitching or fill time, the mean hospital day in patients of the observation group were significantly shorter than that in patients of the control group（P all 〈0. 01 ） ;the efficiency of the ob- servation group was significantly higher than that of the control group （ X2 = 14. 247, P 〈 0. 01 ）, the hys- terectomy rate in the observation group was significantly lower than that of the control group （X2 = 14. 247 ,P 〈0. 01 ）;the rates of uterine involution good in the observation group was significantly higher than that of the control group by B ultrasound follow up reviewed 42 days postpartum （ X2 = 4. 3098, P 〈 O. 05 ）. Conclusions Improved B-lynch suture in the prevention of postpartum hemorrhage after caesar- ean section in patients with high-risk factors exist, it has advantages of shorter operative time, quickl he- mostasis, fewer complications, gooduterine involution, and the efficacy is better than uterine packing.

关 键 词：改良B-LYNCH缝合术 宫腔填塞 剖宫产 产后出血 

分 类 号：R719.8[医药卫生—妇产科学]