晨笛网压缝合术与改良B-Lynch缝合术治疗中央性前置胎盘剖宫产术产后出血患者的效果比较  

Comparison of effects of Chen-Di network compression suture and modified B-Lynch suture in treatment of postpartum hemorrhage after cesarean section of patients with central placenta previa

作　　者：冯娟 FENG Juan(Department of Obstetrics and Gynecology of Yucheng County People’s Hospital,Shangqiu 476300 Henan,China)

机构地区：[1]虞城县人民医院妇产科,河南商丘476300

出　　处：《中国民康医学》2022年第22期146-149,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:比较晨笛网压缝合术与改良B-Lynch缝合术治疗中央性前置胎盘剖宫产术产后出血患者的效果。方法:回顾性分析2018年1月至2021年8月在该院接受晨笛网压缝合术治疗的30例中央性前置胎盘剖宫产术产后出血患者的临床资料(作为观察组);同期在该院接受改良B-Lynch缝合术治疗的30例中央性前置胎盘剖宫产术产后出血患者的临床资料(作为对照组)。比较两组围术期指标、术前和术后24 h凝血功能指标[活化部分凝血活酶时间(APTT)、纤维蛋白原(FIB)、凝血酶时间(TT)、凝血酶原时间(PT)]水平,以及住院期间并发症发生率。结果:观察组手术时间长于对照组,住院时间短于对照组,输血量少于对照组,差异均有统计学意义(P<0.05);术后24 h,两组APTT、PT、TT水平均低于术前,且观察组低于对照组,两组FIB水平高于术前,且观察组高于对照组,差异有统计学意义(P<0.05);两组术后并发症发生率比较,差异无统计学意义(P>0.05)。结论:晨笛网压缝合术治疗中央性前置胎盘剖宫产术产后出血患者可缩短术后住院时间,减少输血量,改善凝血功能指标水平,效果优于改良B-Lynch缝合术治疗,但需延长手术时间。Objective:To compare effects of Chen-Di network compression suture and modified B-Lynch suture in treatment of postpartum hemorrhage after cesarean section of patients with central placenta previa.Methods:The clinical data of 30 central placenta previa patients with postpartum hemorrhage after cesarean section,who underwent Chen-Di network compression suture in this hospital from January 2018 to August 2021,were retrospectively analyzed and used as observation group.At the same time,the clinical data of 30 central placenta previa patients with postpartum hemorrhage after cesarean section treated with modified B-Lynch suture were used as control group.The perioperative indicator levels,the preoperative and postoperative 24 h coagulation function indicator levels[activated partial thromboplastin time(APTT),fibrinogen(FIB),thrombin time(TT),prothrombin time(PT)],and the incidence of complications during the hospitalization were compared between the two groups.Results:The operation time of the observation group was longer than that of the control group,the hospitalization time was shorter than that of the control group,the blood transfusion volume was less than that of the control group,and the differences were statistically significant(P<0.05).24 h after the surgery,the levels of APTT,PT and TT in the two groups were lower than those before the surgery,and those in the observation group were lower than the control group;the FIB levels of the two groups were higher than those before the surgery,and that in the observation group was higher than that in the control group;and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusions:Chen-Di network compression suture in the treatment of postpartum hemorrhage after cesarean section of the patients with central placenta previa can shorten the postoperative hospitalization time,reduce the amount of blood transfusion and improve the levels of c

关 键 词：中央性前置胎盘 剖宫产 产后出血 晨笛网压缝合术 改良B-LYNCH缝合术 凝血功能 并发症 

分 类 号：R714.46[医药卫生—妇产科学]