| B-Lynch缝合术在宫缩乏力性产后出血的应用(附69例临床分析) |
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| 引用本文： | 曹伟,王晨虹,陈丽华,江丽金,傅玛丽. B-Lynch缝合术在宫缩乏力性产后出血的应用(附69例临床分析)[J]. 中国现代手术学杂志, 2009, 13(6) |
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| 作者姓名： | 曹伟 王晨虹 陈丽华 江丽金 傅玛丽 |
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| 作者单位： | 南方医科大学附属深圳妇幼保健院妇产科,深圳,518028 |
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| 摘 要： | 目的探讨B-Lynch缝合术在剖宫产宫缩乏力性产后出血的临床效果。方法176例剖宫产宫缩乏力性产后出血的病例,在处理剖宫产术中出血时,研究组69例应用B-Lynch缝合术,对照组107例采用8字缝合血窦与宫腔填纱。结果研究组手术时间、术中平均出血量、术后24 h出血量分别为(34.6±6.4)min、(407.6±29.4)ml与(443.8±21.2)ml,均明显少于对照组的(49.3±10.2)min、(520.7±42.3)ml及(562.4±31.7)ml(P<0.05)。所有产妇无腹痛、恶露排出不畅等不良反应,术后42 d超声检查示子宫复旧好,切口愈合佳,恶露均已净。结论应用B-Lynch缝合术可以有效控制剖宫产产后宫缩乏力引起的出血。
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| 关 键 词： | 产后出血 宫缩乏力 缝合技术 止血 手术 |
The B-Lynch Surgical Technique of Uterine Compression Suture for the Control of Postpartum Hemorrhage due to Uterine Inertia |
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| CAO Wei,WANG Chen-hong,CHEN Li-hua,JIANG LI-jin,FU Ma-li. The B-Lynch Surgical Technique of Uterine Compression Suture for the Control of Postpartum Hemorrhage due to Uterine Inertia[J]. Chinese Journal of Modern Operative Surgery, 2009, 13(6) |
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| Authors: | CAO Wei WANG Chen-hong CHEN Li-hua JIANG LI-jin FU Ma-li |
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| Affiliation: | CAO Wei; WANG Chen-hong; CHEN Li-hua; JIANG LI-jin; FU Ma-li(Department of Gynecology and Obstetrics; Shenzhen Maternity and Child Healthcare Hospital; Southern Medical University; Shenzhen 518028; Guangdong; China); |
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| Abstract: | Objective To explore the clinical hemostasis effect of B-Lynch surgical technique of uterine compression suture for the control of postpartum hemorrhage associated with uterine inertia during cesarean section.Methods A total of 176 cesarean section cases with uterine inertia were analyzed retrospectively.The B-Lynch surgical technique was applied in 69 patients to control postpartum hemorrhage(regard as research group),and the traditional hemostasis methods such as ligature and uterine packing was performed... |
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| Keywords: | postpartum hemorrhage uterine inertia suture techniques hemostasis surgical |
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