期刊文献+

两种方法治疗剖宫产术中难治性产后出血的效果比较 被引量:13

Effect comparison of two methods in the treatment of cesarean section in intractable postpartum hemorrhage
下载PDF
导出
摘要 目的比较子宫动脉结扎联合改良式B-Lynch缝合术、子宫动脉结扎联合宫腔纱布填塞术治疗剖宫产术中难治性产后出血的效果。方法回顾性分析我院2010~2012年间88例剖宫产术中难治性产后出血患者的临床资料。结果子宫动脉结扎联合改良式B-Lynch缝合术组止血有效率高于子宫动脉结扎联合宫腔纱布填塞术组,差异无统计学意义(P>0.05);子宫动脉结扎联合改良式B-Lynch缝合术组术后2 h阴道流血量、术后24 h阴道流血量均显著低于子宫动脉结扎联合宫腔纱布填塞术组,差异有统计学意义(P<0.05)。结论对剖宫产术中难治性产后出血患者,在行子宫动脉结扎的基础上进行改良式B-Lynch缝合术是一种非常有价值的治疗方法。 Objective Compared effect between the uterine artery ligation combined with modified B-Lynch suture and the uterine artery ligation combined with intrauterine gauze packing which treated intractable postpartum hemor- rhage in cesarean section. Methods Eighty-eight cases of intractable postpartum hemorrhage patients in cesarean sec- tion from 2010 to 2012 in our hospital were retrospectively analyzed. Results The hemostatic effective rate of uterine artery ligation combined with modified B-Lynch suture group was higher than that of uterine artery ligation combined with intrauterine gauze tamponade group with no significant difference (P 〉 0.05) ; the amount of vaginal bleeding after 2 hours and 24 hours in uterine artery ligation combined with modified B-Lynch suture group were significantly lower than those of uterine artery ligation combined with intrauterine gauze tamponade group, the difference was statistically significance (P 〈 0.05). Conclusion The uterine artery ligation combined with modified B-Lynch suture is a very valuable treatment method for the patients of intractable postpartum hemorrhage in cesarean sections.
出处 《中国现代医生》 2013年第13期144-146,共3页 China Modern Doctor
基金 浙江省医药卫生科技项目B类(2012KYB173)
关键词 难治性产后出血 B—Lynch缝合术 子宫动脉结扎 宫腔纱布填塞术 Intractable postpartum hemorrhage B-Lynch suture Uterine artery ligation Intrauterine gauze packing technique
  • 相关文献

参考文献8

二级参考文献29

  • 1底建敏,洪梅.子宫收缩乏力致产后出血的预防与治疗[J].临床误诊误治,2005,18(2):143-144. 被引量:20
  • 2吴连方.产科出血病因的变化趋势及防治[J].中华妇产科杂志,2005,40(11):791-792. 被引量:115
  • 3祁玉霞,马瑞霞,董学彩.产科子宫切除26例临床分析[J].实用诊断与治疗杂志,2006,20(9):687-688. 被引量:4
  • 4B-Lynch C, Coker A, Lawal AH, et al. The B-Lynch surgical technique for the eantrol of massive postpartum hemorrhage:an altemtive to hysterrectomy five cases report-ed[J]. Br J Obstet Gynaecol, 1997, 1049(3 ) : 372-375.
  • 5Condous GS, Arulkumaran S. Medical and conservative surgical management of postpartum hemorrhage[J]. J Obstet Gynecol Can, 2003, 25 ( 11 ) : 931-936.
  • 6曹泽毅.中华妇产科学[M].北京:人民卫生出版社,1999.2129.
  • 7曹泽毅.中华妇产科学[M].北京:人民卫生出版社,2004.2170-2172.
  • 8程海东.产后出血.见:张惜阴,主编.实用妇产科学[M].2版.北京:人民卫生出版社,2003:454-460.
  • 9B - Lynch C, Coker A, Lawal All, et al. The B - Lynch Surgical technique for the control of massive postprtum hemorrhage: an altematlve to hysterectomy? Five cases report[J] .Br J Obstet Gynaecol, 1997,104:372- 373.
  • 10乐杰.妇产科学[M]北京:人民卫生出版社,2007205-208.

共引文献149

同被引文献88

  • 1王玉华.应用“产后出血预测评分表”预测评分 减少产后出血[J].中国妇幼保健,2005,20(7):859-860. 被引量:25
  • 2金秀花.产后出血相关因素及干预措施[J].中国妇幼保健,2006,21(10):1343-1344. 被引量:66
  • 3谢华,封全灵(审校).缩宫素受体及其相关疾病的研究[J].河南医学研究,2006,15(4):369-372. 被引量:5
  • 4谢幸,苟文丽.妇产科学[M].8版.北京:人民卫生出版社,2013:118-119.
  • 5曹泽毅.中华妇产科学[M]{H}北京:人民出版社,2005841.
  • 6王树碧.改良式子宫背带式缝合加排式缝合治疗产后出血12例临床分析[J]医药前沿,2012(01):182.
  • 7Maier RC. Control of postpartum hemorrhage with uterine packing[J].{H}AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY,1993,(2 Pt 1):317-321.
  • 8Abdel-Aziz E, Reid B, B-Lynch C.A repeat B-Lynch suture for recurrent postpartum haemorrhage in a patient with factor V Leiden mutation[J].J ObstetGynaecol, 2012, 32(6): 599-600.
  • 9Vetere P F, Wayock C P, Muscat J, et al.A novel approach to teaching placement of a B-lynch suture: description of technique and validation of teaching model[J].J Grad Med Educ, 2012, 4(3): 367-369.
  • 10Abou Zahr C. Global burden of maternal death and dis- ability [J]. Br Med Bull, 2003,67 : 1-11.

引证文献13

二级引证文献61

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部