B-Lynch缝线法治疗剖宫产术中大出血的临床应用

摘要

目的 探讨B-Lynch缝线法治疗剖宫产术中大出血的临床效果,总结其临床价值.方法 选取我院2008年10月-2011年8月38例剖宫产术中大出血产妇,均采用B-Lynch缝线法治疗,对其临床病历资料及治疗效果进行回顾性分析.结果 治疗前、后出血量[(1985±179) ml vs.( 254±44) ml]对比差异有显著性(P＜0.05).无子宫切除案例,无术后并发症发生,所有产妇均痊愈出院.结论 B-Lynch缝线法治疗剖宫产术中大出血的临床效果明显,子宫复旧良好,能有效避免子宫切除,安全可靠,值得在临床上合理推广应用.%Objective To explore the clinical results of B-Lynch suture treatment on massive hemorrhage during cesarean section,and summarize its clinical value.Methods 38 patients with materhal hemorrhage during cesarean section chosen from our hospital from October 2008 to August 2011,were treated with B-Lynch suture.The clinical medical records and treatment effect were analyzed retrospectively.Results There was significant difference on bleeding volume before and after the treatment (P＜0.05).No one got hysterectomy and postoperative complications.All mothers were discharged.Conclusion BLynch suture treatment on massive hemorrhage during cesarean section has obvious clinical effect and good uterine involution,is a effective way to avoid hysterectomy,is safe and reliable,and is reasonable in the clinical application.