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改良B-Lynch缝合法在胎盘严重黏连产后出血中的应用

B-Lynch suture technique for postpartum hemorrhage due to severe placental adherence

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【作者】 周晔刘伟冯虹

【Author】 ZHOU Ye, LIU Wei, FENG Hong (Department of Obstetrics and Gynecology, Fengtian Hospital Affiliated To Shenyang Medical College, Shenyang, Liaoning, 110024, P.R.China)

【机构】 沈阳医学院奉天医院妇产科

【摘要】 目的探讨改良B-Lynch子宫缝合法在胎盘严重黏连致难治性产后出血中的应用价值。方法回顾2005年2月-2009年2月剖宫产术中8例胎盘严重黏连致难治性产后出血病历,经常规抢救治疗无效后,2例行子宫次全切除术,6例采用改良B-Lynch子宫缝合法。结果应用改良B-Lynch子宫缝合法治疗的6例患者止血效果良好,无1例子宫切除。结论改良B-Lynch子宫缝合法用于剖宫产术中难治性产后出血可保留子宫,方法易行,止血快,效果确切且经济,无副作用,值得推广。

【Abstract】 【Objective】To discuss the application value of B-lynch suture technique for postpartum hemorrhage due to severe placental adherence.【Methods】8 cases of postpartum hemorrhage were retrospectively studied due to severe placental adherence, in which 2 cases had subtotal hysterectomy and 6 cases had B-Lynch suture at the time of caesarean section between February 2005 and February 2009. 【Results】All 6 cases who had B-Lynch suture were effectively stanched with preservation of uterine.【Conclusion】B-lynch surgical technique is simple and effective for stanching postpartum hemorrhage of caesarean section,which is worthy to be popularized.

  • 【文献出处】 中国现代医学杂志 ,China Journal of Modern Medicine , 编辑部邮箱 ,2010年12期
  • 【分类号】R713.4
  • 【被引频次】2
  • 【下载频次】50
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