宫腔填塞纱条与B-Lynch缝扎术在治疗剖宫产产后出血中的疗效评价

目的：探讨B-Lynch外科缝扎术在治疗剖宫产术中产后出血的应用价值。方法：将本院近5年间剖宫产术中产后出血行宫腔纱布填塞治疗18例为宫腔填塞组（A组），行B—Lynch外科缝扎术治疗15例为外科缝扎组（B组）。结果：两组对治疗产后出血均有效．但B组手术时间（1．9±1．5）h明显短于A组（2．5±1．6）h，术中出血A组（710±220）mL明显多于B组（560土200）mL；B组术后未发现异常发热，不需长时间使用广谱抗生素，而A组术后发热和抗生素使用时间较长。结论：产后出血是孕产妇死亡的首要原因，积极防治产后出血是降低孕产妇死亡率的关键。B—Lynch外科缝扎术用于剖宫产术中治疗产后出血具有手术时间短，出血少，疗效确切，并发症少等优点。

Uterine gauze stuffing and B-Lynch suture technique in the treatment of postpartum hemorrhage after caesarean operation:Efficacy evaluation

Objective：To explore the application value of B--Lynch suture technique in the treatment of postpartum hemorrhage after caesarean operation. Methods ：Group A：18 cases were treated by gauze stuffing of womb lumen in our hospital in the recent five years and Group B： 15 cases were treated by B--Lynch suture technique. Results：Both Group A and Group B showed efficacy in the treatment of postpartum hemorrhage after caesarean operation, but Group B spent much less time （1.9±1.5）hand had less postpartum hemorrhage （560±200）mLthan Group A（2.5±1.6）hand（710±220）mL. There was no unusual postoperative fever and no need for broad--spectrum antibiotics in Group B compared with Group A. Conclusion ：Postpartum hemorrhage is the leading cause of lying--in women deaths and the effective precaution is the key to reducing the mortality. B--Lynch suture technique has the advantages of less operation time, less bleeding, effective treatment and few complications in the treatment of postpartum hemorrhage after caesarean operation.