【摘要】 目的:探究改良B-lynch缝合术在剖宫产中难治性产后出血的临床应用。方法:选取2012年1月至2014年11月期间重庆市万州区妇幼保健院接收治疗的108例剖宫产中难治性产后出血产妇。采用随机数表法将108例产妇分为观察组和对照组,各54例。给予对照组产妇传统的宫腔填塞纱布术进行治疗,给予观察组产妇改良的B-lync缝合术治疗。对比两组产妇的手术成功率、术后出血量、术中出血量、二次手术发生率和并发性疾病发生情况。结果:对照组产妇的术中出血量为(1538.7±642.1)m L,术后48h出血量为(429.2±33.7)m L,手术成功率为35.18%。观察组产妇的术中出血量为(1113.8±343.5)m L,术后48h出血量为(126.9±58.4)m L,手术成功率为94.44%。对照组产妇的二次手术发生率为25.92%,并发性疾病的发生率为11.11%。观察组产妇的二次手术发生率为3.70%,并发性疾病的发生率为0.00%。比较两组产妇之间差异具有统计学意义(P<0.05)。观察组产妇的术中、术后出血量、二次手术发生率和并发性疾病发生率均显示低于对照组产妇,手术成功率高于对照组产妇。结论:对于剖宫产中难治性产后出血产妇采用改良B-lync缝合术治疗较传统的宫腔填塞纱布术能够显著降低术中和术后出血量、降低二次手术发生率和并发性疾病发生率,可以在临床上进一步推广和使用。更多还原

【Abstract】 Objectives: To explore the clinical application of modified B- lynch suture in intractable postpartum hemorrhage of cesarean section. Methods: 108 patients with intractable postpartum hemorrhage of cesarean section treated in Wanzhou District,Chongqing Maternal Child Health Center from January 2012 to November 2014 were selected and divided into observation group and control group randomly,with 54 cases in each group. The control group received traditional uterine packing gauze surgical treatment and observation group was given modified B-lync suture treatment. Maternal surgical success rate,postoperative bleeding,blood loss,the incidence of secondary surgery and concurrent disease incidence of the two groups were compared. Results: Maternal blood loss in the control group was( 1538. 7 ± 642. 1) ml,and 48 h after operation,the blood loss was( 429. 2 ± 33. 7) ml and surgicalsuccess rate was 35. 18%. Maternal blood loss of observed group was( 1113. 8 ± 343. 5) ml,and 48 h after operation,the blood loss was( 126. 9 ± 58. 4) ml and surgical success rate was 94. 44%. Reoperation occurrence rate in the control group was 25. 92% and concurrent disease rate was 11. 11%. Reoperation occurrence rate in the observation group was 3. 70% and concurrent disease rate was 0%. The difference was statistically significant( P <0. 05). Postoperative bleeding,reoperation rates and concurrent disease incidence rate of observation group were lower than these in control group,and the surgical success rate of observation group was higher. Conclusion: For the intractable postpartum hemorrhage of cesarean section,compared to traditional uterine packing gauze surgical treatment,modified B- lync suture can significantly reduce the amount of bleeding during and after surgery and reduce the incidence of secondary surgery and concurrent diseases incidence,which need to be further promoted in clinical practice.更多还原