现代医药卫生
現代醫藥衛生
현대의약위생
MODERN MEDICINE HEALTH
2014年
9期
1313-1314
,共2页
剖宫产术%宫缩乏力%产后出血%改良式B-lynch缝合术%宫腔填塞
剖宮產術%宮縮乏力%產後齣血%改良式B-lynch縫閤術%宮腔填塞
부궁산술%궁축핍력%산후출혈%개량식B-lynch봉합술%궁강전새
Cesarean section%Uterine inertia%Postpartum hemorrhage%Modified B-lynch suture%Uterine tamponade
目的：探讨改良式B-lynch缝合术在剖宫产产后出血中的临床应用效果。方法将2005年1月至2011年12月收治的67例剖宫产产后出血患者随机分为两组，其中观察组34例采用改良式B-lynch缝合术；对照组33例采用宫腔填塞纱布止血。比较两组止血效果及术后并发症发生情况。结果观察组34例患者中成功32例，成功率为94.1%；术后无弥散性血管内凝血（DIC）的发生，无子宫切除或二次手术，无并发症的发生。对照组33例患者中成功30例，成功率为90.9%。两组患者手术时间，术中、术后出血情况，手术成功率，抗菌药物的选择等比较，差异均无统计学意义（P＞0.05）；对照组发生术后并发症3例（9.1%），与观察组（0.0%）比较，差异有统计学意义（χ2=8.23，P＜0.01）。结论改良式B-lynch缝合术具有操作简单、止血迅速、有效保留子宫、并发症少、成功率高等优点，是治疗剖宫产产后出血行之有效的止血方法。
目的：探討改良式B-lynch縫閤術在剖宮產產後齣血中的臨床應用效果。方法將2005年1月至2011年12月收治的67例剖宮產產後齣血患者隨機分為兩組，其中觀察組34例採用改良式B-lynch縫閤術；對照組33例採用宮腔填塞紗佈止血。比較兩組止血效果及術後併髮癥髮生情況。結果觀察組34例患者中成功32例，成功率為94.1%；術後無瀰散性血管內凝血（DIC）的髮生，無子宮切除或二次手術，無併髮癥的髮生。對照組33例患者中成功30例，成功率為90.9%。兩組患者手術時間，術中、術後齣血情況，手術成功率，抗菌藥物的選擇等比較，差異均無統計學意義（P＞0.05）；對照組髮生術後併髮癥3例（9.1%），與觀察組（0.0%）比較，差異有統計學意義（χ2=8.23，P＜0.01）。結論改良式B-lynch縫閤術具有操作簡單、止血迅速、有效保留子宮、併髮癥少、成功率高等優點，是治療剖宮產產後齣血行之有效的止血方法。
목적：탐토개량식B-lynch봉합술재부궁산산후출혈중적림상응용효과。방법장2005년1월지2011년12월수치적67례부궁산산후출혈환자수궤분위량조，기중관찰조34례채용개량식B-lynch봉합술；대조조33례채용궁강전새사포지혈。비교량조지혈효과급술후병발증발생정황。결과관찰조34례환자중성공32례，성공솔위94.1%；술후무미산성혈관내응혈（DIC）적발생，무자궁절제혹이차수술，무병발증적발생。대조조33례환자중성공30례，성공솔위90.9%。량조환자수술시간，술중、술후출혈정황，수술성공솔，항균약물적선택등비교，차이균무통계학의의（P＞0.05）；대조조발생술후병발증3례（9.1%），여관찰조（0.0%）비교，차이유통계학의의（χ2=8.23，P＜0.01）。결론개량식B-lynch봉합술구유조작간단、지혈신속、유효보류자궁、병발증소、성공솔고등우점，시치료부궁산산후출혈행지유효적지혈방법。
Objective To explore the clinical application of modified B-lynch suture in postpartum hemorrhage after ce-sarean section. Methods Totally 67 patients with postpartum hemorrhage after cesarean section from January 2005 to December 2011 were randomly divided into the observation group(n=34) and the control group(n=33). The observation group was treated with modified a B-lynch suture technique,and the control group was subject to intrauterine packing with gauze to stop bleeding. The hemostatic effect and the postoperative complications between the two groups were compared. Results Among the 34 patients in the observation group,32 cases were successful with the success rate of 94.1%,and no postoperative disseminated intravascular coagulation(DIC),hysterectomy or secondary surgery occurred. Among the 33 patients in the control group ,30 cases were of suc-cess with the success rate of 90.9%. The operation time,intraoperative and postoperative bleeding,surgical success rate,the choice of antimicrobial difference between the two groups had no statistically significant difference (P>0.05). The postoperative complications was 3 cases(9.1%) in the control group,comparing with the observation group(0.0%),the difference was statistically significant(χ2=8.23,P<0.01). Conclusion Modified B-lynch suture technique is simple to operate,quick to stop bleeding,it preserves the uterus effectively with few complications and high success rate ,so it is an effective way for haemostasis after cesarean section.
