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目的探讨背带式缝合术(B-Lynch缝合术)在剖宫产患者宫缩乏力性产后出血治疗中的临床应用价值。方法选取于本院行剖宫产宫缩乏力性产后出血的患者20例,在征得所有患者同意情况下,按其就诊顺序进行编号并随机分为对照组(10例)和实验组(10例),对照组患者行传统止血治疗,实验组患者行背带式缝合术止血,观察两组患者各指标并进行统计对比分析。结果实验组患者治疗有效率100%明显高于对照组80.00%,组间差异具有统计学意义(P<0.05);实验组患者手术时间(50.02±8.94)min、出血量(658.47±203.47)ml、产褥病发生率(10.00%)、子宫切除率(0)均明显低于对照组患者相应指标(73.14±10.25)min、(1095.45±351.37)ml、(30.00%)、(20.00%),以上组间差异均具有统计学意义(P<0.05)。结论 B-Lynch缝合术是一种安全、有效的剖宫产宫缩乏力性产后出血治疗措施,手术时间短、出血量少、产褥病少、疗效佳,值得推广。
Objective To investigate the clinical value of strap suture (B-Lynch suture) in the treatment of uterine inertia postpartum hemorrhage in cesarean section. Methods Twenty patients with postpartum hemorrhage due to uterine atresia were selected in our hospital. All cases were given the consent of all the patients according to the order of their visits. The patients were randomly divided into control group (n = 10) and experimental group (n = 10) In the control group, the patients were treated with traditional hemostasis. The patients in the experimental group were treated with strap suture to stop bleeding. The indexes of the two groups were observed and compared statistically. Results The effective rate of treatment in experimental group was significantly higher than that in control group (100%, 80.00%, P <0.05). The operation time of experimental group was (50.02 ± 8.94) min and the amount of bleeding was (658.47 ± 203.47) ml (10.00%), hysterectomy rate (0) were significantly lower than those in control group (73.14 ± 10.25) min, (1095.45 ± 351.37) ml, 30.00%, 20.00% The differences between the above groups were statistically significant (P <0.05). Conclusion B-Lynch suture is a safe and effective cesarean section for treatment of postpartum hemorrhage. It has short operation time, less bleeding, less puerperal and better curative effect. It is worth popularizing.