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B-Lynch缝合对宫缩乏力产后出血妇女的短期和长期影响研究

李剑兰 谢如绵 刘绍莲

中国现代手术学杂志2017,Vol.21Issue(2):157-160,4.
中国现代手术学杂志2017,Vol.21Issue(2):157-160,4.DOI:10.16260/j.cnki.1009-2188.2017.02.019

B-Lynch缝合对宫缩乏力产后出血妇女的短期和长期影响研究

Recent and Long-term Effects of B-Lynch Suture for Atonic Postpartum Hemorrhage

李剑兰 1谢如绵 1刘绍莲1

作者信息

  • 1. 北海市妇幼保健院妇产科,北海536000
  • 折叠

摘要

Abstract

Objective To explore recent and long term effects of B-Lynch suture on women with postpartum hemorrhage due to uterine inertia.Methods From February 2014 to February 2015,70 cases of uterine postpartum hemorrhage were treated in our hospital.The observation group (35 cases) was treated by B-Lynch suture.The control group(35 cases) received intrauterine tamponade.The patients were followed up to observe the clinical status,recent effects and long-term effects.Results The incidence of blood transfusion and hysterectomy in the observation group was significantly less than that of the control group,and the number of successful hemostasis in the observation group was significantly higher than that of the control group (P < 0.05 or P < 0.01).The rate of postoperative abdominal pain,intestinal adhesion,intestinal obstruction and puerperal infection was significantly less in the observation group than that of the control group (P < 0.01).There were 12 cases got re-pregnant (8 cases of the observation group,and 4 cases of the control group).6 of the observation group got successful delivery,and 1 of the control group got successful delivery.Conclusion B-Lynch suture is cheap,quick and effective in preventing atonic postpartum haemorrhage in women undergoing emergency caesarian section who are at high risk for haemorrhage.

关键词

产后出血/缝合技术/宫缩乏力/剖宫产术

Key words

postpartum hemorrhage/suture techniques/uterine inertia/cesarean section

分类

医药卫生

引用本文复制引用

李剑兰,谢如绵,刘绍莲..B-Lynch缝合对宫缩乏力产后出血妇女的短期和长期影响研究[J].中国现代手术学杂志,2017,21(2):157-160,4.

中国现代手术学杂志

OACSTPCD

1009-2188

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