宫腔球囊填塞术和B-Lynch缝合术在宫缩乏力致产后出血中的临床效果分析  

Analysis of the Clinical Effect of Uterine Balloon Tamponade and B-Lynch Suture in Postpartum Hemorrhage Caused by Uterine Inertia

作　　者：朱雯静 戚亚兰 梁升连[1] 应小燕[1] ZHU Wenjing;QI Yalan;LIANG Shenglian;YING Xiaoyan(The Second Affiliated Hospital of Nanjing Medical University,Nanjing 210000,China;不详)

机构地区：[1]南京医科大学第二附属医院,江苏南京210000 [2]南京鼓楼医院集团宿迁医院

出　　处：《中国医学创新》2023年第7期32-37,共6页Medical Innovation of China

基　　金：2014年江苏省省级条件建设与民生科技专项资金项目(BL2014095)。

摘　　要：目的:比较宫腔球囊填塞术和B-Lynch缝合术在治疗剖宫产术中因宫缩乏力致产后出血的临床效果。方法:回顾性分析2015年1月-2021年12月在南京鼓楼医院集团宿迁医院住院行剖宫产术,术中因子宫收缩乏力导致的产后出血患者120例作为研究对象,收集整理患者资料,术中采用宫腔球囊填塞法止血53例(球囊填塞组),B-Lynch缝合止血67例(B-Lynch缝合组)。比较两种方法的治疗效果。结果:球囊填塞组手术时间、术中出血量、术后2 h出血量、输红细胞悬液量均少于B-Lynch缝合组,差异均有统计学意义(P<0.05)。两组患者输血浆、冷沉淀量比较,差异均无统计学意义(P>0.05)。球囊填塞组止血总有效率为98.1%(52/53),高于B-Lynch缝合组的89.6%(60/67),差异有统计学意义(P<0.05)。两组均无子宫切除术。术后半年,两组性生活满意度比较,差异无统计学意义(P>0.05);球囊填塞组性生活质量评分高于B-Lynch缝合组,差异有统计学意义(P<0.05)。结论:相比于B-Lynch缝合术治疗宫缩乏力致产后出血,宫腔球囊填塞术具有止血成功率高、手术时间短、损伤小等优势,且其可提高患者性生活质量。Objective:To compare the clinical effects of uterine balloon tamponade and B-Lynch suture in the treatment of postpartum hemorrhage caused by uterine intertia during cesarean section.Method:A retrospective analysis was performed on 120 patients with postpartum hemorrhage caused by uterine inertia during caesarean section in Nanjing Drum Tower Hospital Group Suqian Hospital from January 2015 to December 2021.The data of patients were collected and analyzed,uterine balloon tamponade hemostasis was performed in 53 cases(balloon tamponade group)and B-Lynch suture hemostasis in 67 cases(B-Lynch suture group).The therapeutic effects of the two methods were compared.Result:The operative time,intraoperative blood loss,postoperative 2 h blood loss and the amount of erythrocyte transfusion suspension in balloon tamponade group were all lower than those in B-Lynch suture group,with statistical significance(P<0.05).There were no statistical significance in the amount of plasma and cryoprecipitation transfusion between two groups(P>0.05).The total hemostatic efficiency was 98.1%(52/53)in the balloon tamponade group,compared to 89.6%(60/67)in the B-Lynch suture group,with a statistically significant difference(P<0.05).There was no hysterectomy in either group.Six months after operation,the two groups had no statistically significant difference in sexual satisfaction(P>0.05).The sex life quality score in the balloon tamponade group was higher than in the B-Lynch suture group,with statistically significant differences(P<0.05).Conclusion:Compared with B-Lynch suture in the treatment of postpartum hemorrhage caused by uterine inertia,uterine balloon tamponade has the advantages of higher success rate of hemostasis,shorter operation time and less injury,and it can improve the sexual life quality of patients.

关 键 词：产后出血 宫缩乏力 宫腔球囊填塞术 B-LYNCH缝合术 

分 类 号：R714.461[医药卫生—妇产科学]