B-Lynch缝合术在宫缩乏力性产后岀血中的应用研究

目的:探讨B-Lynch缝合术在治疗剖宫产产后出血中的应用价值。方法:研究组45例剖宫产术中宫缩乏力性产后出血病例采用B-Lynch缝合术治疗,45例对照组采用传统方法治疗,在产后出血量、产褥病率及治疗效果等方面对比两组的临床疗效。结果:研究组病例临床效果显著,产后出血量、产褥病率及有效率与对照组比较差异有统计学意义(P<0.05)。结论:B-Lynch缝合术是治疗剖宫产宫缩乏力性产后出血的有效止血方法,其操作简单、止血迅速,早应用可减少输血、感染机会,并能保留生育功能。

Clinical Research of B-Lynch Technique for Hemorrhage Caused by Uterine Inertia

Objective：To explore the value of B-Lynch technique of postpartum hemorrhage caused by uterine inertia.Methods：45 cases of postpartum hemorrhage of cesarean section treated with B-Lynch technique served as the research group.45 parturient pantients treated with tradition technique for postpartum hemorrhage of cesarean section were recruited as control group.Hemorrhage volume, puerperal morbidity and therapeutic efficacy between the two groups were conpared.Results：All cases in the research group were effective stanched with preservation of uterine and no postoperative complication was found.The differences were statistically significant for hemorrhage volume,pureperal mobidity and success rate between the research group and the control group （P〈0.05）.No obvious influence of uterine brace suture technique on uterine involution and postpartum mentruation return were observed.Conclusion：B-Lynch technique is one of effective treatment for postpartum hemorrhage, it is particularly useful of its simplicity of application ,life saving potential.If performed early,it may prevent excessive blood loss, reduce matemal morbidity and matemal deaths.