CAJ | 학술논문

目的：分析改良式B-Lynch缝合术治疗难治性宫缩乏力产后出血的效果及安全性,指出该术式治疗难治性宫缩乏力产后出血的可行性。方法将62例难治性宫缩乏力产后出血患者随机分为对照组30例与观察组32例,对照组采用常规方法进行治疗,观察组采用改良式B-Lynch缝合术进行治疗,对比和分析两组的治疗效果、术中出血量、止血时间、术后阴道流血量、术后恢复情况及不良反应情况。结果对照组临床有效率为70.00%,显著低于观察组的90.63%(P<0.05)。观察组术中出血量为(1772.09±65.89)ml,少于对照组的(2134.23±77.02)ml(P<0.05)；止血时间为(10.02±1.73)min,短于对照组的(13.44±2.88)min(P<0.05)。观察组术后Hb显著高于对照组,术后输血率及产褥病发生率均显著低于对照组,输血量少于对照组(P<0.05)。两组产妇术后均存活,无一例出现并发症。结论改良式B-Lynch缝合术治疗难治性宫缩乏力产后出血的效果显著,安全性高,值得临床推广应用。
목적：분석개량식B-Lynch봉합술치료난치성궁축핍력산후출혈적효과급안전성,지출해술식치료난치성궁축핍력산후출혈적가행성。방법장62례난치성궁축핍력산후출혈환자수궤분위대조조30례여관찰조32례,대조조채용상규방법진행치료,관찰조채용개량식B-Lynch봉합술진행치료,대비화분석량조적치료효과、술중출혈량、지혈시간、술후음도류혈량、술후회복정황급불량반응정황。결과대조조림상유효솔위70.00%,현저저우관찰조적90.63%(P<0.05)。관찰조술중출혈량위(1772.09±65.89)ml,소우대조조적(2134.23±77.02)ml(P<0.05)；지혈시간위(10.02±1.73)min,단우대조조적(13.44±2.88)min(P<0.05)。관찰조술후Hb현저고우대조조,술후수혈솔급산욕병발생솔균현저저우대조조,수혈량소우대조조(P<0.05)。량조산부술후균존활,무일례출현병발증。결론개량식B-Lynch봉합술치료난치성궁축핍력산후출혈적효과현저,안전성고,치득림상추엄응용。
Objective To analyze the efficacy and safety of the modified B-Lynch suture in the treatment of intractable postpartum hemorrhage because of uterine inertia and point out the feasibility of the treatment of intractable postpartum hemorrhage caused by uterine inertia. Methods 62 patients with intractable postpartum hemorrhage caused by uterine inertia were randomly divided into control group (30 cases)and observation group (32 cases).The conventional treatment was used in control group,the modified B-Lynch suture for treatment was applied in observation group.The effect of treatment,the amount of bleeding,hemostatic time,postoperative vaginal bleeding amount,postoperative recovery and ad-verse reaction in two groups were compared and analyzed. Results The clinical effective rate in control group was 70.00%,significantly lower than that in observation group(90.63%)(P<0.05).The amount of bleeding in observation group was(1772.09±65.89)ml,less than that in control group[(2134.23±77.02)ml](P<0.05).Hemostatic time in observation group was (10.02±1.73)min,shorter than that in control group [(13.44±2.88)min](P<0.05).After the operation,Hb in observation group was significantly higher than that in control group,postoperative blood transfusion rate and the incidence rate of puerperal disease in observation group was significantly lower than that in control group respectively,the amount of blood transfusion in observation group was less than that in control group (P<0.05).The patients in two groups after surgery were alive and no complication occurred. Conclusion The modified B-Lynch suture in the treatment of in-tractable postpartum hemorrhage caused by uterine inertia has significant curative effect,high safety,which is worthy of promotion and application in clinic.