中国现代医学杂志2017，Vol.27Issue(7)：132-135,4.DOI:10.3969/j.issn.1005-8982.2017.07.030
B-lynch缝合术对产后出血的防治效果
Clinical effect of improved B-Lynch suture technique in prevention and treatment of postpartum hemorrhage
摘要
Abstract
Objective To explore the clinical effect of improved B-Lynch suture technique in the prevention and treatment of postpartum hemorrhage. Methods Eighty patients with high-risk factors of postpartum hemorrhage that received cesarean in our hospital from December 2010 to December 2015 were divided into observation group (40 patients) and control group (40 patients) through stratified randomization by sex. The patients in the observation group received improved B-Lynch suture technique; while the patients in the control group received uterine massage, intrauterine packing with gauze or uterine balloon compress. The operative time, blood loss during operation, amount of postpartum hemorrhage and postoperative recovery were compared between the two groups. Results The operative time was shorter, the volume of blood loss during operation and the total volume of blood loss within 24 h after cesarean were smaller and the decrement of Hb was more obvious in the observation group than in the control group, the differences were statistically significant ( p< 0.05). There was no significant difference in the incidence of puerperalism or intrauterine adhesion, or the time for recovery of menstrual cycle between both groups (p > 0.05). The persistent period of lochia rubra was significantly shorter and the incidence of late postpartum hemorrhage was significantly lower in the observation group than in the control group ( p< 0.05). Conclusions Improved B-Lynch suture technique is easily operated, and has obvious and rapid hemostatic effect, small intraoperative damage and low incidences of postoperative complications. It is worthy of clinical promotion.关键词
改良B-lynch缝合术/产后出血/防治Key words
improved B-Lynch suture technique/postpartum hemorrhage/prevention分类
医药卫生引用本文复制引用
姜长丽,张金芝,梁彦..B-lynch缝合术对产后出血的防治效果[J].中国现代医学杂志,2017,27(7):132-135,4.
