B-Lynch缝合术与改良Hayman缝合术在高危剖宫产中的应用效果比较  

Application of B-Lynch suture and modified Hayman suture in cesarean section for high-risk parturients

作　　者：李凯 Li Kai(Department of Obstetrics,Linyi Traditional Chinese Medical Hospital,Linyi 272000,China)

机构地区：[1]临沂市中医医院产科,临沂272000

出　　处：《中国实用医刊》2023年第11期1-4,共4页Chinese Journal of Practical Medicine

摘　　要：目的比较B-Lynch缝合术和改良Hayman缝合术在高危剖宫产中的应用效果。方法抽取2020年4月至2022年4月临沂市中医医院收治的84例高危剖宫产产妇,按随机数字表法分为对照组与观察组,每组42例。对照组予以B-Lynch缝合术,观察组施行改良Hayman缝合术。比较两组手术相关指标(术中出血量、产后24 h出血量、手术时间、住院时间与产褥病发生率)、产后恢复情况(月经恢复、子宫复旧情况)及并发症发生率。结果观察组术中出血量、产后24 h出血量少于对照组,手术时间及住院时间短于对照组(P<0.05);观察组产褥病发生率(4.76%,2/42)低于对照组(19.05%,8/42),P<0.05。观察组月经恢复率(95.24%,40/42)、子宫复旧恢复率(97.62%,41/42)均高于对照组(78.57%,33/42;80.95%,34/42),差异有统计学意义(P<0.05)。观察组并发症发生率(4.76%,2/42)与对照组(9.52%,4/42)比较差异未见统计学意义(P>0.05)。结论改良Hayman缝合术在高危剖宫产中应用效果显著,其可缩短手术时间,减少产妇术中出血量与产后出血量,并减少产褥病的发生风险,促进产妇产后月经恢复与子宫复旧,且并发症发生率低。Objective To compare the application of B-Lynch suture and modified Hayman suture in cesarean section for high-parturients.Methods A total of 84 high-risk parturients who underwent cesarean section admitted in Linyi Traditional Chinese Medical Hospital from April 2020 to April 2022 were selected,and they were divided into control group and observation group according to the random number table method,with 42 cases in each group.The control group was treated by B-Lynch suture,and the observation group was treated by modified Hayman suture.The operation related indexes(intraoperative blood loss,24-hour postoperative blood loss,operation time,hospital stay and incidence of puerperalism),postpartum recovery(recovery rate of menstruation and uterine involution)and incidence of complications were compared between the two groups.Results The intraoperative blood loss and 24-hour postoperative blood loss in the observation group were less than those in the control group,while the operation time and hospital stay were shorter than those in the control group(P<0.05);the incidence of puerperalism in the observation group(4.76%,2/42)was lower than that in the control group(19.05%,8/42),P<0.05.The recovery rate of menstruation(95.24%,40/42)and the recovery rate of uterine involution(97.62%,41/42)of the observation group were higher those of the control group(78.57%,33/42;80.95%,34/42),P<0.05.There was no significant difference in the incidence of complications between the observation group(4.76%,2/42)and the control group(9.52%,4/42),P>0.05.Conclusions The modified Hayman suture has a significant effect in the cesarean section for high-risk parturients.It has short operation time,meanwhile,it can reduce the intraoperative blood loss,postpartum blood loss,and risk of puerperalism,but promote the recovery of postpartum menstruation and uterine involution of parturients,with low incidence of complications.

关 键 词：剖宫产 高危产妇 B-LYNCH缝合术 改良Hayman缝合术 并发症 产褥病 

分 类 号：R719.8[医药卫生—妇产科学]