宫腔填纱条与改良B—Lynch缝合治疗剖宫产术中难治性出血的体会(1)
【摘要】 目的：探讨宫腔填纱条与改良B-Lynch缝合治疗剖宫产术中难治性出血的临床应用及疗效，并观察和分析其安全性。方法：选择笔者所在医院2007年1月-2013年12月剖宫产难治性出血患者共40例，分为对照组和研究组，每组20例。对照组应用宫腔填纱条，研究组应用改良B-Lynch缝合法，观察治疗效果、术中出血量、术后阴道出血量及并发症，并观察6个月后月经来潮等指标。结果：两组均能有效控制产后出血，有效率达100%。研究组术中出血量、手术时间和阴道出血量、术后感染率、输血和住院时间分别为(894.63±67.21)ml、(76.13±8.52)min、(25.17±4.63)ml、0、(661.57±30.32)ml和(7.12±0.96)d，均低于对照组，两组比较差异均有统计学意义(P<0.05)。两组切除子宫和6个月后月经来潮比较差异无统计学意义(P>0.05)。结论：改良B-Lynch缝合治疗剖宫产术中难治性出血的止血效果明显优于宫腔填纱条法，止血迅速可靠，能够降低患者并发症。
【关键词】 宫腔； 改良B-Lynch缝合； 剖宫产； 产后出血
中图分类号 R719.9 文献标识码 A 文章编号 1674-6805(2015)20-0003-03
The Yarn Filling in Uterine Cavity and Improved B-Lynch Suture in the Treatment of Intractable Hemorrhage in Cesarean Section/LIANG Ri-xin.//Chinese and Foreign Medical Research，2015，13(20)：3-5
【Abstract】 Objective：To explore the clinical application and effect of the yarn filling in uterine cavity and improved B-Lynch suture for the treatment of intractable hemorrhage in cesarean section，and observe and analyze its security.Method：40 cesarean section patients with intractable hemorrhage were selected in the hospital from January 2007 to December 2013，they were randomly divided into the control group and the research group，20 cases each group.The control group used the uterine cavity filling yarn，the research group used improved B-Lynch suture.To observe treatment effect，intraoperative blood loss，postoperative vaginal blood loss and complication，and observed 6 months after menstrual cramps and other indicators.Result：Both groups can effectively control postpartum，100% efficient，there was no statistically significant difference(P>0.05).The intraoperative blood loss，operating time and blood loss，postoperative vaginal infection，blood transfusion and length of hospital stay time of the research group were (894.63±67.21)ml，(76.13±8.52)min，(25.17±4.63)ml，0，(661.57±30.32)ml and (7.12±0.96)d，all lower than the control group，the differences were statistically significant，(P<0.05).Removal of the uterus，six months after the menstrual period of two groups，there was no statistically significant difference(P>0.05).Conclusion：Improved B-Lynch suture for the treatment of intractable hemorrhage in cesarean section of uterine cavity is superior to yarn filling in uterine，which can stop bleeding quickly and reduce complications.
【Key words】 The cavity： The improved B-Lynch suture； Cesarean section； Postpartum hemorrhage
First-author’s address：Rong’an County MCH Hospital，Rong’an 545400，China
doi：10.14033/j.cnki.cfmr.2015.20.002, 百拇医药(梁日新)
【关键词】 宫腔； 改良B-Lynch缝合； 剖宫产； 产后出血
中图分类号 R719.9 文献标识码 A 文章编号 1674-6805(2015)20-0003-03
The Yarn Filling in Uterine Cavity and Improved B-Lynch Suture in the Treatment of Intractable Hemorrhage in Cesarean Section/LIANG Ri-xin.//Chinese and Foreign Medical Research，2015，13(20)：3-5
【Abstract】 Objective：To explore the clinical application and effect of the yarn filling in uterine cavity and improved B-Lynch suture for the treatment of intractable hemorrhage in cesarean section，and observe and analyze its security.Method：40 cesarean section patients with intractable hemorrhage were selected in the hospital from January 2007 to December 2013，they were randomly divided into the control group and the research group，20 cases each group.The control group used the uterine cavity filling yarn，the research group used improved B-Lynch suture.To observe treatment effect，intraoperative blood loss，postoperative vaginal blood loss and complication，and observed 6 months after menstrual cramps and other indicators.Result：Both groups can effectively control postpartum，100% efficient，there was no statistically significant difference(P>0.05).The intraoperative blood loss，operating time and blood loss，postoperative vaginal infection，blood transfusion and length of hospital stay time of the research group were (894.63±67.21)ml，(76.13±8.52)min，(25.17±4.63)ml，0，(661.57±30.32)ml and (7.12±0.96)d，all lower than the control group，the differences were statistically significant，(P<0.05).Removal of the uterus，six months after the menstrual period of two groups，there was no statistically significant difference(P>0.05).Conclusion：Improved B-Lynch suture for the treatment of intractable hemorrhage in cesarean section of uterine cavity is superior to yarn filling in uterine，which can stop bleeding quickly and reduce complications.
【Key words】 The cavity： The improved B-Lynch suture； Cesarean section； Postpartum hemorrhage
First-author’s address：Rong’an County MCH Hospital，Rong’an 545400，China
doi：10.14033/j.cnki.cfmr.2015.20.002, 百拇医药(梁日新)