安列克联合改良B-lynch缝合术用于前置胎盘剖宫产出血效果及妊娠结局  

Application efct of Anleike combined with modified B lynch suture for treating hemorrhage of women with placenta pre-via during cesarean section and the pregnancy outcomes

作　　者：白亚娟 范慧敏 苗红艳 韦彩霞 BAI Yajuan;FAN Huimin;MIAO Hongyan;WEI Caixia(Sanmenria Central Hospital,Sanmentia,Henan Province,472000)

机构地区：[1]河南省三门峡市中心医院,472000

出　　处：《中国计划生育学杂志》2023年第4期853-857,共5页Chinese Journal of Family Planning

摘　　要：目的:探究安列克联合改良B-lynch缝合术在前置胎盘剖宫产出血中的应用效果及妊娠结局。方法:前瞻性选取2019年6月-2022年6月本院收治的前置胎盘行剖宫产术出血患者120例,随机数字表法分为两组各60例。对照组给予常规治疗,观察组给予安列克联合改良B-lynch缝合术治疗,比较两组手术指标、疗效、卵巢功能指标、并发症与妊娠结局。结果:观察组术中(367.4±94.4 ml)、术后2h(256.4±72.4 ml)、术后24h(312.3±89.7 ml)出血量少于对照组(498.5±102.7 ml、448.1±82.3 ml、529.2±2.9 ml),住院时间(8.4±2.3d)短于对照组(13.9±3.6d),总有效率(93.3%)高于对照组(70.0%)。两组术后雌二醇(E_(2))、抗苗勒管激素(AMH)水平均降低,促黄体生成素(LH)、卵泡刺激素(FSH)水平均升高且观察组变化幅度高于优于对照组,子宫切除(1.7%)、输血(51.7%、)、术后腹痛(8.3%)、并发症总发生率(13.3%)均低于对照组(11.7%、70.0%、21.7%、35.0%)(均P<0.05)。结论:安列克联合改良B-lynch缝合术应用于前置胎盘剖宫产出血患者效果显著,可有效减少术后出血量,改善卵巢功能与妊娠结局,减少术后并发症发生率,促进恢复。Objective:To explore the application effect of Anleike combined with modified B-lynch suture for treating hemorrhage of women with placenta previa during cesarean section,and to analyze the related pregnancy outcomes of these women.Methods:A total of 120 women with placenta previa and hemorrhage during cesarean section were pro-spectively selected and were divided into two groups(60 cases in each group)according to the random number table method from June 2019 to June 2022.The women in the control group were given routine treatment,and the women in the study group were given treatment of Anlex combined with modified B-lynch suture.The surgical indicators,cura-tive effects,ovarian function indicators,complications rate,and the pregnancy outcomes of the women were compared between the two groups.Results:The intraoperative bleeding loss(367.4±94.4 ml),the postoperative 2h bleeding loss(256.4±72.4 ml),and the postoperative 4h bleeding loss(312.3±89.7 ml)of the women in the study group were significantly less than those(498.5±102.7 ml,448.1±82.3 ml,and 529.2±2.9 ml)of the women in the control group.The time of hospitalization(8.4±2.3d)of the women in the study group was significantly shorter than that(13.9±3.6d)of the women in the control group.The total effective rate(93.3%)of the women in the study group was significantly higher than that(70.0%)of the women in the control group.The levels of estradiol(E_(2))and antimulleri-an hormone(AMH)of the women in both groups had decreased significantly,while the levels of luteinizing hormone(LH)and fllicle stimulating hormone(FSH)of the women in both groups had increased significantly,and the change ranges of which of the women in the study group were significantly higher than those of the women in the control group.The incidences of hysterectomy(1.7%),blood transfusion(51.7%),postoperative abdominal pain(8.3%),and total complications(13.3%)of the women in the study group were significantly lower than those(11.7%,70.0%,21.7%,and 35.0%)of the women in the control group

关 键 词：前置胎盘 剖宫产 出血 安列克联合改良B-lynch缝合术 效果 妊娠结局 

分 类 号：R719.8[医药卫生—妇产科学] R714.461[医药卫生—临床医学]