摘要
目的探讨分析采用B-Lynch子宫缝合术治疗宫缩乏力性剖宫产手术产后出血的临床效果及预后。方法选取该院收治的宫缩乏力性剖宫产手术产后出血患者48例作为研究对象,病例来源于2014年1月—2016年12月,回顾性分析临床资料,按照治疗方法分为两组,其中采用常规药物治疗24例为A组,在用B-Lynch子宫缝合术方式治疗24例为B组。对两组的治疗效果进行回顾性对比分析。结果 A组的手术时间(29.8±6.3)min、术中出血量(1 100±160.0)mL、以及住院时间(8.1±0.8)d,B组的手术时间(13.3±1.2)min、术中出血量(850±140.0)mL、以及住院时间(4.3±1.2)d,(t=12.604,5.761,12.908,P=0.000),B组的手术时间、术中出血量及住院时间等各项手术指标值均明显低于A组(P<0.05),其中A组的输血率为25.00%(6/24),B组的输血率为4.17%(1/24)(χ~2=4.181,P=0.041)。结论 B-Lynch子宫缝合术用于治疗宫缩乏力性剖宫产手术产后出血具有非常显著的临床效果。
Objective To study and analyze the clinical effect and prognosis of B-Lynch hysterorrhaphy in treatment of postpartum hemorrhage of uterine atony caesarean section. Methods 48 cases of patients with postpartum hemorrhage of uterine atony caesarean section admitted and treated in our hospital from January 2014 to December 2016 were selected, and the clinical data were reviewed, and the patients were divided into two groups according to the treatment methods 24 case in each group, the group A used the routine drug therapy, while the group B used the B-Lynch hysterorrhaphy, and the treatment effect of the two groups were retrospectively analyzed. Results The operation time, intraoper ative bleeding amount and length of stay in the group A and in the group B were respectively（29.8±6.3）min,（1 100±160.0）mL,（8.1±0.8）d and（13.3±1.2）min,（850±140.0）mL,（4.3±1.2）d,（t=12.604,5.761,12.908,P=0.000）, and the operation time, intraoperative bleeding amount and length of stay in the group B were obviously lower than those in the group A（P〈0.05）, and the transportation rate in the group A and in the group B was respectively 25.00%（6/24） and4.17%（1/24）, and the data comparison（χ2=4.181, P=0.041）. Conclusion The clinical effect of B-Lynch hysterorrhaphy in treatment of postpartum hemorrhage of uterine atony caesarean section is extremely obvious.
作者
侯敏丹
HOU Min-dan(Department of Gynecology and Obstetrics,Changshu Hospital of TCM,Changshu,Jiangsu Province,215500 China)
出处
《系统医学》
2018年第10期112-114,共3页
Systems Medicine
