CAJ | 학술논문

目的：观察连续式B-lynch缝合应用于剖宫产术中、产后出血的止血效果。方法：2012年1月-2014年1月收治在剖宫产术中宫缩乏力出血85例作为观察组，采用连续式B-lynch缝合。2006年1月-2008年1月收治实施剖宫产手术患者63例作为对照组，术中因宫缩乏力导致产后出血，采用传统治疗方法子宫动脉上行支结扎加宫腔纱条填塞。分别对两组手术时间、产后出血量、输血量及产褥病率、子宫切除率、治疗效果等方面进行比较。结果：观察组临床效果明显，两组比较差异具有统计学意义(P＜0.05)。两组在手术时间、产后出血量、输血量、产褥病率、子宫切除率等方面比较差异有统计学意义(P＜0.01)。结论：连续式B-lynch缝合操作简单、安全、止血快，尽早应用降低了子宫切除率，减少产后出血引起的后遗症及并发症，是治疗产后出血最有效的方法。
목적：관찰련속식B-lynch봉합응용우부궁산술중、산후출혈적지혈효과。방법：2012년1월-2014년1월수치재부궁산술중궁축핍력출혈85례작위관찰조，채용련속식B-lynch봉합。2006년1월-2008년1월수치실시부궁산수술환자63례작위대조조，술중인궁축핍력도치산후출혈，채용전통치료방법자궁동맥상행지결찰가궁강사조전새。분별대량조수술시간、산후출혈량、수혈량급산욕병솔、자궁절제솔、치료효과등방면진행비교。결과：관찰조림상효과명현，량조비교차이구유통계학의의(P＜0.05)。량조재수술시간、산후출혈량、수혈량、산욕병솔、자궁절제솔등방면비교차이유통계학의의(P＜0.01)。결론：련속식B-lynch봉합조작간단、안전、지혈쾌，진조응용강저료자궁절제솔，감소산후출혈인기적후유증급병발증，시치료산후출혈최유효적방법。
Objective:To observe the continuous B-lynch sutures applied for postpartum hemorrhage in cesarean surgery. Methods:85 cases bleeding caused by uterine inertia in cesarean section were admitted during January 2012 to January 2014 as the observation group,who were treated with continuous B-lynch suture.63 cases treated of cesarean section during January 2006 to January 2008 as a control group,using the traditional method of ascending uterine artery ligation and filling sand bar in the uterine cavity to treated of postpartum hemorrhage due to uterine inertia during surgery.Observe therapeutic effects including operation time,postpartum hemorrhage,blood transfusion,puerperal orbidity,hysterectomy rate,clinical efficacy and etc in two groups.Results:The patients in the observation group had an obviously clinical effect,and the difference was significant(P<0.05). There was significant difference in operation time,postpartum hemorrhage,blood transfusion,puerperal orbidity and hysterectomy rate of the tow groups.Conclusion:Simple security B-lynch suture continuous operation is simple,security and can stop bleeding quickly.If application in early time it can reduces the hysterectomy rate,reduce sequelae and complications caused by postpartum hemorrhage,so this is an effective methods on postpartum hemorrhage treatment.