改良B-lynch缝合联合水囊填塞法治疗宫缩乏力性产后出血的疗效观察

摘要

Objective To evaluate the efficacy of modified B-Lynch suture combined with intrauterine balloon tamponade in the treatment of postpartum hemorrhage caused by uterine inertia.Methods 38 cases of postpartum hemorrhage caused by uterine inertia in our department from January 2011 to December 2015 underwent modified B-Lynch suture combined with intrauterine balloon tamponade (observation group),23 cases of postpartum hemorrhage caused by uterine inertia in our department from January 2006 to December 2010 underwent intrauterine balloon tamponade (control group).Clinical efficacy,hemostatic time,the amount of bleeding,and complications were compared between two groups.Results The effective rate of observation group was 94.7％ (36/38),significantly higher than that of control group [73.9％ (17/23)],with statistically significant difference between two groups (P＜0.05).The operation time of observation group was longer than that of control group,the hemostasis time of observation group was shorter than that of control group,with statistically significant differences between two groups (P＜0.05).There were no complications such as water sac shedding or cervical necrosis in both groups.Conclusion Modified B-Lynch suture combined with intrauterine balloon tamponade is effective in the treatment of postpartum hemorrhage caused by uterine inertia.%目的 探讨改良B-lynch缝合联合水囊填塞法治疗宫缩乏力性产后出血的临床治疗效果.方法 2011年1月至2015年12月采用改良B-lynch缝合联合水囊填塞法治疗的38例宫缩乏力性产后出血患者作为观察组,2006年1月至2010年12月单纯采用水囊填塞法治疗的23例宫缩乏力性产后出血患者为对照组.比较两组患者的临床疗效、止血时间、出血量及相关并发症.结果 观察组有效率为94.7％(36/38),显著高于对照组的73.9％(17/23),两组临床疗效比较差异有统计学意义(P＜0.05).观察组手术时间长于对照组、止血时间短于对照组,差异均有统计学意义(P＜0.05).两组均未发生水囊脱落及宫颈坏死等并发症.结论 改良B-lynch缝合联合水囊填塞法协同治疗,能有效治疗产后收缩乏力性子宫出血,是一种安全有效的治疗方式.