宫腔球囊填塞与B-Lynch缝合术治疗产后出血患者的临床效果  

Clinical effect of intrauterine balloon packing and B-Lynch suture in the treatment of postpartum hemorrhage

作　　者：江素珍 赖丽梨 李传堂 Jiang Suzhen;Lai Lili;Li Chuantang(Department of Obstetrics and Gynecology,The Fourth Affiliated Hospital of Guangzhou Medical University,Guangzhou 511300,China)

机构地区：[1]广州医科大学附属第四医院妇产科,广东广州511300

出　　处：《实用妇科内分泌电子杂志》2022年第15期77-79,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨宫腔球囊填塞与B-lynch缝合术治疗产后出血患者的效果。方法选择30例剖宫产产后出血患者为研究对象,根据随机数字表法分为对照组与研究组,每组15例。对照组行B-lynch缝合术治疗,研究组行宫腔球囊填塞术治疗。比较两组患者术后2、12.24 h出血量及手术相关指标。结果研究组术后2、12.24 h出血量均少于对照组,差异均有统计学意义(P<0.05)。研究组手术时间、止血时间、恶露干净及住院时间均短于对照组,差异均有统计学意义(P<0.05)。研究组并发症发生率低于对照组,差异有统讨学意义(P<0.05)。结论在产后出血患者治疗中,与B-ynch缝合术治疗相比,宫腔球囊填塞术治疗效果更为理想,此术式手术时间较短,并可减少出血量,缩短止血时间,安全性较高,值得临床推广与应用。Objective To investigate the effect of uterine balloon packing and B-Lynch suture in patients with postpartum hemorrhage.Methods Thirty patients with postpartum hemorrhage after cesarean section were selected as the research objects,and were divided into control group and study group according to random number table method,with 15 cases in each group.The control group received B-Lynch suture,and the study group received uterine balloon packing.The postoperative blood loss and related indexes of 2,12 and 24 h were compared between the two groups.Results The blood loss in the study group was less than that in the control group at 2,12 and 24 h after operation,and the differences were statistically significant(P<0.05).The operation time,hemostasis time,lochia clean and hospital stay in the study group were shorter than those in the control group,and the differences were statistically significant(P<0,05).The complication rate of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion In the treatment of postpartum hemorrhage,compared with B-Lynch suture,intrauterine balloon packing is more effective.This method has shorter operation time,can reduce the amount of blood loss,shorten the time of hemostasis,and has higher safety.It is worthy of clinical promotion and application.

关 键 词：产后出血 宫腔球囊填塞术 B-LYNCH缝合术 出血量 并发症 

分 类 号：R714.461[医药卫生—妇产科学]