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目的探讨剖宫产术宫缩乏力性产后出血者应用B-Lynch缝合术的时机。方法回顾性分析60例剖宫产术后宫缩乏力性产后出血产妇的资料,其中观察组(n=30)在产后出血量400~1000 ml时行B-Lynch缝合术,对照组(n=30)在产后出血量>1000 ml时行B-Lynch缝合术,将两组的术中出血量、止血效果、子宫切除率等进行统计对比。结果观察组术中出血量、术后1 h出血量均少于对照组,手术时间短于对照组,观察组子宫切除率、产褥病率均显著低于对照组,差异均具有统计学意义(P<0.05)。结论剖宫产术宫缩乏力性产妇在出血早期(出血量<1000 ml)施行B-Lynch缝合术能够快速控制出血、缩短手术时间、降低产褥病率及子宫切除率。
Objective To investigate the timing of B-Lynch suture in cesarean section with uterine inertia postpartum hemorrhage. Methods The data of 60 postpartum hemorrhage women with uterine atypia after cesarean section were retrospectively analyzed. The observation group (n = 30) underwent B-Lynch suture in postpartum hemorrhage of 400 to 1000 ml, while the control group (n = 30) B-Lynch suture was performed after the amount of postpartum hemorrhage> 1000 ml. The blood loss, hemostatic effect and hysterectomy were compared between two groups. Results The bleeding volume in the observation group and the amount of bleeding at 1 h after operation were all less than those in the control group. The operative time was shorter than that in the control group. The hysterectomy rate and the rate of puerperal morbidity in the observation group were significantly lower than those in the control group (P <0.05). Conclusion Cesarean section uterine attrition in the early bleeding (bleeding <1000 ml) B-Lynch suture can quickly control bleeding, shorten the operation time, reduce the rate of puerperal and hysterectomy.