B-Lynch缝合术与改良Hwu缝合术在前置胎盘剖宫产术中的应用效果比较  

Comparison on the Application Effects of B-Lynch Suture and Modified Hwu Suture in Cesarean Section for Placenta Previa

作　　者：汤倩倩 张庆[1] TANG Qianqian;ZHANG Qing(Department of Obstetrics and Gynecology,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China)

机构地区：[1]郑州大学第二附属医院妇产科,河南郑州450014

出　　处：《临床医学工程》2024年第7期827-828,共2页Clinical Medicine & Engineering

摘　　要：目的对比B-Lynch缝合术与改良Hwu缝合术在前置胎盘剖宫产术中的应用效果。方法将60例前置胎盘剖宫产产妇根据子宫缝合技术不同分为B-Lynch组(n=30)和Hwu组(n=30)。B-Lynch组采用B-Lynch缝合术止血,Hwu组采用改良Hwu缝合术止血。比较两组的手术相关指标、预后指标及并发症发生情况。结果Hwu组手术时间、止血时间短于BLynch组,术中出血量少于B-Lynch组(P<0.05)。Hwu组恶露持续时间、首次月经恢复时间及月经周期短于B-Lynch组(P<0.05)。Hwu组并发症发生率为6.67%,与B-Lynch组的13.33%比较无统计学差异(P>0.05)。结论与B-Lynch缝合术相比,改良Hwu缝合术在前置胎盘剖宫产术中应用效果更佳,可明显缩短手术时间、止血时间,减少术中出血量,促进产妇预后恢复。Objective To compare the application effects of B-Lynch suture and modified Hwu suture in cesarean section for placenta previa.Methods 60 puerperae with placenta praevia undergoing cesarean section were divided into B-Lynch group(n=30)and Hwu group(n=30)according to different uterine suture techniques.The B-Lynch group used with B-Lynch suture for hemostasis,and the Hwu group used modified Hwu suture for hemostasis.The operation related indicators,prognosis and complications were compared between the two groups.Results The operation time and hemostasis time of the Hwu group were shorter than those of the B-Lynch group,and the intraoperative blood loss was less than that of the B-Lynch group(P<0.05).The lochia duration,the recovery time of first menstruation,and menstrual cycle of the Hwu group were shorter than those of the B-Lynch group(P<0.05).The incidence of complications in the Hwu group was 6.67%,which had no statistical difference with 13.33%in the B-Lynch group(P>0.05).Conclusions Compared with B-Lynch suture,modified Hwu suture has better application effect in cesarean section of placenta previa,which can significantly shorten the operation time and hemostasis time,reduce the intraoperative blood loss,and promote the recovery of maternal prognosis.

关 键 词：B-LYNCH缝合术 改良Hwu缝合术 前置胎盘 剖宫产术 

分 类 号：R719.8[医药卫生—妇产科学]