中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
18期
57-57,59
,共2页
B-Lynch缝合术%前置胎盘%产后出血%产科质量
B-Lynch縫閤術%前置胎盤%產後齣血%產科質量
B-Lynch봉합술%전치태반%산후출혈%산과질량
B-Lynch suture operation%Placenta previa%Postpartum hemorrhage%Obstetrics quality
目的：探讨前置胎盘剖宫产术中出血时，采用改良式B-Lynch缝合术治疗的效果、应用及注意事项。方法：对前置胎盘剖宫产术中出血行改良式B-Lynch缝合术患者的临床资料进行回顾性分析。结果：本组6例均为前置胎盘胎盘剥离面广泛出血时伴不同程度的子宫收缩乏力引起出血的患者，经其他保守治疗方法不能控制出血而行B-Lynch缝合术，手术保留了其生育能力，术后无大出血。结论：改良式B-Lynch缝合术是治疗前置胎盘致产后出血的有效方法，它不仅提高了产科质量，降低围产儿死亡率，还简单易掌握，值得临床推广应用。
目的：探討前置胎盤剖宮產術中齣血時，採用改良式B-Lynch縫閤術治療的效果、應用及註意事項。方法：對前置胎盤剖宮產術中齣血行改良式B-Lynch縫閤術患者的臨床資料進行迴顧性分析。結果：本組6例均為前置胎盤胎盤剝離麵廣汎齣血時伴不同程度的子宮收縮乏力引起齣血的患者，經其他保守治療方法不能控製齣血而行B-Lynch縫閤術，手術保留瞭其生育能力，術後無大齣血。結論：改良式B-Lynch縫閤術是治療前置胎盤緻產後齣血的有效方法，它不僅提高瞭產科質量，降低圍產兒死亡率，還簡單易掌握，值得臨床推廣應用。
목적：탐토전치태반부궁산술중출혈시，채용개량식B-Lynch봉합술치료적효과、응용급주의사항。방법：대전치태반부궁산술중출혈행개량식B-Lynch봉합술환자적림상자료진행회고성분석。결과：본조6례균위전치태반태반박리면엄범출혈시반불동정도적자궁수축핍력인기출혈적환자，경기타보수치료방법불능공제출혈이행B-Lynch봉합술，수술보류료기생육능력，술후무대출혈。결론：개량식B-Lynch봉합술시치료전치태반치산후출혈적유효방법，타불부제고료산과질량，강저위산인사망솔，환간단역장악，치득림상추엄응용。
Objective:To explore the effect,application and matters needing attention of modified B-Lynch suture operation in the treatment of placenta previa hemorrhage in cesarean section.Methods:The cases with placenta previa hemorrhage in cesarean section were treated with modified B-Lynch suture operation.The clinical data were retrospectively analyzed.Results:In this group, 6 cases were placenta previa placenta stripping surface extensive hemorrhage with different degrees of uterine contraction.The hemorrhages were unable to control by other conservative treatment method.So the patients were given B-Lynch suture operation. The operation retained its fertility,and there was no postoperative bleeding.Conclusion:The modified B-Lynch suture operation is a effective method in the treatment of postpartum hemorrhage caused by placenta previa.It improves obstetrics quality,reduce perinatal mortality.It is also simple and easy to master.So it is worthy of clinical application.
