子宫动脉上行支结扎术联合B-Lynch缝合术治疗前置胎盘剖宫产产后出血患者的效果  

Effects of uterine artery ascending branch ligation combined with B-Lynch suture in treatment of postpartum hemorrhage in patients with placenta previa after cesarean section

作　　者：周文静 ZHOU Wenjing(Department of Obstetrics and Gynecology of Pingdingshan Maternal and Child Health Hospital,Pingdingshan 467000 Henan,China)

机构地区：[1]平顶山市妇幼保健院妇产科,河南平顶山467000

出　　处：《中国民康医学》2025年第8期92-94,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察子宫动脉上行支结扎术(UAL)联合B-Lynch缝合术治疗前置胎盘剖宫产产后出血患者的效果。方法:回顾性分析2020—2023年该院收治的80例前置胎盘剖宫产产后出血患者的临床资料,根据治疗方法不同将其分为观察组和对照组各40例。对照组行B-Lynch缝合术治疗,观察组在对照组基础上联合UAL治疗。比较两组止血成功率,术后12、24 h出血量,术后即刻和术后3 d凝血功能指标[纤维蛋白原(FIB)、D-二聚体(D-D)、活化部分凝血活酶时间(APTT)]水平,以及并发症发生率。结果:观察组止血成功率为97.50%(39/40),高于对照组的80.00%(32/40),差异有统计学意义(P<0.05);观察组术后12、24 h出血量均少于对照组,差异有统计学意义(P<0.05);术后3 d,两组FIB、D-D水平均高于术后即刻,且观察组高于对照组,两组APTT均短于术后即刻,且观察组短于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:UAL联合B-Lynch缝合术治疗前置胎盘剖宫产产后出血患者可提高止血成功率,减少术后出血量,改善凝血功能指标水平,降低并发症发生率,效果优于单纯UAL治疗。Objective:To observe effects of uterine artery ascending branch ligation(UAL)combined with B-Lynch suture in treatment of postpartum hemorrhage in patients with placenta previa after cesarean section.Methods:The clinical data of 80 patients with postpartum hemorrhage after cesarean section of placenta previa admitted to this hospital from 2020 to 2023 were retrospectively analyzed.According to different treatment methods,they were divided into observation group and control group,40 cases in each group.The control group was treated with B-Lynch suture,while the observation group was treated with UAL on the basis of that of the control group.The hemostasis success rate,the amount of bleeding at 12 h and 24 h after the surgery,the levels of coagulation function indexes[fibrinogen(FIB),D-dimer(D-D),activated partial thromboplastin time(APTT)]at immediately after the surgery and 3 d after the surgery,and the incidence of complications were compared between the two groups.Results:The hemostasis success rate in the observation group was 97.50%(39/40),which was higher than 80.00%(32/40)in the control group,and the difference was statistically significant(P<0.05).The amount of bleeding in the observation group was less than that in the control group 12 and 24 h after the surgery,and the difference was statistically significant(P<0.05).3 d after the surgery,the levels of FIB and D-D in the two groups were higher than those immediately after the surgery,and those in the observation group were higher than those in the control group;the APTT levels in both groups were shorter than those immediately after the surgery,and that in the observation group was shorter than that in the control group;and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions:UAL combined with B-Lynch suture in the treatment of postpartum hemorrhage of placenta previa cesarean sect

关 键 词：前置胎盘 剖宫产 产后出血 子宫动脉上行支结扎术 B-LYNCH缝合术 凝血 止血 

分 类 号：R714[医药卫生—妇产科学]