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目的探讨B-Lynch及其改良缝合法用于剖宫产时宫缩乏力性产后出血的治疗效果。方法回顾性分析怀远县中医院自2002年12月-2008年12月间在剖宫产术中因宫缩乏力性产后出血的15例患者,行B-Lynch及其改良缝合法救治效果。结果14例成功保留了子宫,术后恶露排出正常,随访产后1月、2月B超子宫形态恢复正常,行经时月经正常,其中4例已再次妊娠足月剖宫产分娩,术中未发现异常;仅一例效果不良,患者出现休克,行子宫次全切除。结论B-Lynch及其改良缝合法作为外科技术简单、安全、可靠,无明显并发症,可保留子宫及生育能力。
Objective To investigate the therapeutic effect of B-Lynch and its modified suture method for postpartum hemorrhage during uterine atony in cesarean section. Methods A retrospective analysis of Huaiyuan County Hospital from December 2002 - December 2008 in cesarean section due to uterine inert postpartum hemorrhage in 15 patients underwent B-Lynch and its improved suture treatment. Results The uterus was successfully preserved in 14 cases, and the lochia were discharged after operation. The morphological changes of B-uterus returned to normal after 1 month and 2 months of follow-up. Menstrual cycle was normal during menstruation, of which 4 cases had full-term cesarean delivery after pregnancy. Abnormal; only one case of poor results, patients with shock, subtotal hysterectomy. Conclusion B-Lynch and its improved suture method as a surgical technique is simple, safe, reliable, no obvious complications, can retain the uterus and fertility.