中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2013年
5期
708-710
,共3页
剖宫产术%难治性产后出血%改良B-Lynch缝合术%子宫动脉上行支结扎术
剖宮產術%難治性產後齣血%改良B-Lynch縫閤術%子宮動脈上行支結扎術
부궁산술%난치성산후출혈%개량B-Lynch봉합술%자궁동맥상행지결찰술
cesarean section%intractable postpartum hemorrhage (intractable PPH)%modified B-Lynch suture%uterine artery ligation
目的：探讨改良B-Lynch缝合联合子宫动脉上行支结扎术治疗难治性产后出血（难治性PPH）的效果及安全性，为保守治疗难治性PPH寻找新的方法。方法将安康市妇幼保健院妇产科2006年1月至2012年12月61例剖宫产术中发生难治性PPH患者的临床资料进行回顾性分析，根据治疗方法不同分为两组，应用改良B-Lynch缝合联合子宫动脉上行支结扎术治疗的为研究组（28例），采用传统方法治疗者为对照组（33例）。结果研究组在术中、术后24小时出血量、平均输血情况、产褥病率等方面均优于传统方法，差异有统计学意义（χ2值分别为-2．466、-5．609、-4．811、4．573，均P＜0．05）。结论改良B-Lynch缝合联合子宫动脉上行支结扎术是治疗剖宫产术中发生难治性PPH的一种疗效显著、方法简单、不需特殊医疗器械、适宜在基层医院推广应用的临床技术。
目的：探討改良B-Lynch縫閤聯閤子宮動脈上行支結扎術治療難治性產後齣血（難治性PPH）的效果及安全性，為保守治療難治性PPH尋找新的方法。方法將安康市婦幼保健院婦產科2006年1月至2012年12月61例剖宮產術中髮生難治性PPH患者的臨床資料進行迴顧性分析，根據治療方法不同分為兩組，應用改良B-Lynch縫閤聯閤子宮動脈上行支結扎術治療的為研究組（28例），採用傳統方法治療者為對照組（33例）。結果研究組在術中、術後24小時齣血量、平均輸血情況、產褥病率等方麵均優于傳統方法，差異有統計學意義（χ2值分彆為-2．466、-5．609、-4．811、4．573，均P＜0．05）。結論改良B-Lynch縫閤聯閤子宮動脈上行支結扎術是治療剖宮產術中髮生難治性PPH的一種療效顯著、方法簡單、不需特殊醫療器械、適宜在基層醫院推廣應用的臨床技術。
목적：탐토개량B-Lynch봉합연합자궁동맥상행지결찰술치료난치성산후출혈（난치성PPH）적효과급안전성，위보수치료난치성PPH심조신적방법。방법장안강시부유보건원부산과2006년1월지2012년12월61례부궁산술중발생난치성PPH환자적림상자료진행회고성분석，근거치료방법불동분위량조，응용개량B-Lynch봉합연합자궁동맥상행지결찰술치료적위연구조（28례），채용전통방법치료자위대조조（33례）。결과연구조재술중、술후24소시출혈량、평균수혈정황、산욕병솔등방면균우우전통방법，차이유통계학의의（χ2치분별위-2．466、-5．609、-4．811、4．573，균P＜0．05）。결론개량B-Lynch봉합연합자궁동맥상행지결찰술시치료부궁산술중발생난치성PPH적일충료효현저、방법간단、불수특수의료기계、괄의재기층의원추엄응용적림상기술。
Objective To investigate the effect and safety of modified B-Lynch suture combined with uterine artery ligation in treatment of postoperative refractory postpartum hemorrhage ( PPH) and find new methods for conservative treatment of intractable PPH .Methods A retrospectively analysis was conducted on the clinical data of 61 cases of cesarean section with intractable PPH from January 2006 to December 2012 in department of gynecology and obstetrics of Ankang Maternal and Child Health Hospital .According to different methods , these cases were divided into two groups , study group using modified B-Lynch suture combined with uterine artery ligation treatment ( 28 cases), and control group using traditional methods of treatment (33 cases).Results The intraoperative bleeding volume , bleeding volume 24 hours after operation , average blood transfusion volume and puerperal disease rate of the study group were obviously superior to the control group, and the differences were statistically significant (χ2 value was -2.466, -5.609, -4.811 and 4.573,respectively, all P<0.05).Conclusion The modified B-Lynch suture combined with uterine artery ligation is a simple medical treatment with obvious curative effect for refractory PPH .No special medical equipments are needed .It is suitable for popularization and application in grassroots hospitals.
