改良式B-lynch缝扎术治疗剖宫产术中难治性大出血的应用价值  

Application Value of Modified B-lynch Suture for Intraoperative Refractory Hemorrhage in Caesarean Section

作　　者：顾金燕[1] GU Jinyan(Department of Obstetrics,Changshu Hospital of Traditional Chinese Medicine,Changshu,Jiangsu Province,215500 China)

机构地区：[1]常熟市中医院产科,江苏常熟215500

出　　处：《中外医疗》2023年第9期76-79,共4页China & Foreign Medical Treatment

摘　　要：目的探讨对剖宫产术中难治性大出血患者采用改良式B-lynch缝扎术完成治疗后获得的临床效果。方法随机选取2019年1月—2021年4月常熟市中医院剖宫产术中难治性大出血患者80例作为研究对象,采用随机数表法分为两组,常规组(40例)接受宫腔纱布填塞治疗,研究组(40例)接受改良式B-lynch缝扎术治疗。比较两组患者手术相关状况(手术时间、产后出血量)、手术并发症发生情况(切口感染、术后宫腔粘连、宫腔积液)以及治疗满意度评分(手术安全性、总治疗时间、手术效果、预后水平)。结果研究组手术时间短于常规组,差异有统计学意义(t=9.764,P<0.05)。研究组产后出血量少于常规组,差异有统计学意义(t=7.641,P<0.05)。研究组手术并发症总发生率(7.50%)低于常规组(30.00%),差异有统计学意义(χ^(2)=6.646,P<0.05)。研究组手术安全性、总治疗时间、手术效果、预后水平评分均高于常规组,差异有统计学意义(t=21.682、16.935、20.067、21.720,P<0.05)。结论改良式B-lynch缝扎术有效应用,同宫腔纱布填塞方法比较,可将患者手术时间缩短,将产后出血量降低,并提高手术安全性以及满意度,促进剖宫产术中难治性大出血患者良好预后。Objective To investigate the clinical effect of using modified B-lynch suture to treat patients with intraoperative refractory hemorrhage during cesarean section.Methods 80 patients from Changshu Hospital of Traditional Chinese Medicine with intraoperative refractory hemorrhage by cesarean section were selected randomly,ranging from January 2019 to April 2021.According to the random number table were divided into two groups,the conventional group(40 cases)treated with uterine gauze tamponade and the study group(40 cases)treated with modified B-lynch suture.The two groups were compared in terms of surgery-related conditions(operative time,postpartum bleeding),surgical complications(incisional infection,postoperative uterine adhesions,uterine effusion),and treatment satisfaction scores(surgical safety,total treatment time,surgical outcome,and prognosis level).Results The surgical time in the study group was shorter than that in the conventional group,and the difference was statistically significant(t=9.764,P<0.05).The postpartum bleeding volume in the research group was lower than that in the conventional group,and the difference was statistically significant(t=7.641,P<0.05).The total incidence of surgical complications in the study group(7.50%)was lower than that in the conventional group(30.00%),and the difference was statistically significant(χ^(2)=6.646,P<0.05).The study group had higher scores for surgical safety,total treatment time,surgical efficacy,and prognosis than the conventional group,and the difference was statistically significant(t=21.682,16.935,20.067,21.720,P<0.05).Conclusion The effective application of modified B-lynch suture,compared with the uterine gauze tamponade method,can shorten the operating time of patients,reduce postpartum bleeding,and improve surgical safety as well as satisfaction,promoting a good prognosis for patients with intraoperative refractory hemorrhage during cesarean delivery.

关 键 词：改良式B-lynch缝扎术 剖宫产术 难治性大出血 应用效果 

分 类 号：R4[医药卫生—临床医学]