实用妇产科杂志2024，Vol.40Issue(11)：923-927,5.
难治性产后出血子宫网压缝合术治疗的多中心临床有效性观察
Clinical Observation of the Efficacy of the Uterine Net-Like Compression Su-ture for Treating Intractable Postpartum Hemorrhage
摘要
Abstract
Objective:To explore the application value of uterine net-like compression suture in postpartum hemorrhage(PPH).Methods:The data of 84 refractory PPH patients from six hospitals specialized in children and women in Chengdu from January 2015 to March 2023 were retrospectively analyzed.They were divided into two groups according to the surgical methods:41 cases of B-Lynch suture(control group)and 43 cases of uterine net-like compression suture(observation group).The clinical efficacy of the two methods was observed,and the perioperative indicators and clinical outcomes were compared between the two groups.Results:①31 cases in the control group and 42 cases in the observation group,were successfully hemostatic and retained the uterus,with effective rates of 75.61%and 97.67%,respectively.The difference was statistically significant(P＜0.01).②There were no significant differences in the rates of all preoperative diagnosis and preoperative blood loss between the two groups(P＞0.05);in the observation group,the intraoperative and 2 h postoperative blood loss,the units of postoperative blood transfusion,the incidence rate of requiring postoperative intensive care and the hospitalization days,were less than those in the control group(P＜0.01).③During a follow-up period of 10-48 months,all 73 pa-tients without hysterectomy recovered menstrual cycles within 12 months after the surgery.Thirteen cases experi-enced reduced menstrual flow with cycle changes in the control group(41.94%),while 6 cases experienced in the observation group(14.29%),and the difference was statistically significant(P＜0.01);5 cases(16.13%)had sub-sequent pregnancy in the control group,while 12 cases(28.57%)had in the other,with no significant difference(P＞0.05).Conclusions:The two uterine sutures for refractory PPH have both achieved good clinical curative effects,and the uterine net-like compression suture shows therapeutic advantages on intraoperative and postoper-ative blood loss,postoperative blood transfusion,and hospitalization days.The uterine net-like compression suture has no special requirements for medical devices or materials,and thus has important popularization and applica-tion value for primary obstetrics with limited medical conditions.关键词
难治性产后出血/B-Lynch缝合术/子宫网压缝合术/有效性观察Key words
Refractory postpartum hemorrhage/B-Lynch suture/Uterine net-like compression suture/Efficacy observation分类
医药卫生引用本文复制引用
王晨笛,朱天行,雷颖,李莉,李南,赵萍,钟英,王成英..难治性产后出血子宫网压缝合术治疗的多中心临床有效性观察[J].实用妇产科杂志,2024,40(11):923-927,5.基金项目
成都市卫生健康委员会科研课题(编号:2023623) （编号:2023623）
