改良B-Lynch缝扎术治疗剖宫产术中大出血

目的 探讨改良B-Lynch缝扎术在剖宫产术中大出血的应用价值.方法 回顾性分析40例剖宫产发生大出血患者的临床资料,给予常规治疗措施17例及改良B-Lynch缝扎术治疗23例.结果 行改良B-Lynch缝合术的B-Lynch治疗组患者较常规治疗组出血量明显少、剖宫产手术时间短(t=8.58、6.38,P＜0.05)；常规治疗组6例行子宫切除术、5例发生了DIC,而B-Lynch治疗组则无(x2=6.98、4.59,均P＜0.05).结论 剖宫产术中发生大出血在常规措施无法止血的情况下应该及时行改良B-Lynch缝合术,可以达到良好的止血效果.

Improved B-Lynch suture in the treatment of cesarean section refractory hemorrhage

Objective To explore the application value of improved B-Lynch suture in the treatment of cesarean section refractory hemorrhage. Methods To analyze retrospectively the information of cesarean section refractory hemorrhage patients who have taken conventional treatment or improved B-Lynch suture treatment in our hospital, taken the conventional treatment, the uterus was remove when it＇s invalid, the improved B-Lynch suture treatment was taken. Results In the improved B-Lynch suture treatment group, the patients have apprently little blood loss, shorter time in the cesarean section operation（ t = 8.58,6.38 ,P 〈 0.05）. And none of the eases took the hysterectomy or occured DIC. In the conventional treatment group, the blood loss was more, the operation time was longer, and 6 cases took the hysterectomy, 5 cases occured DIC. The two groups were significantly different （ χ2 = 6.98,4.59, all P 〈 0. 05 ）. Conclusion In the cesarean section,if refractory hemorrhage happen and the conventional measures does not work,the improved B-Lynch suture should be taken into consideration. It has good hemostatic effect.