高危妊娠剖宫产中应用 B－lynch 缝合术的临床效果分析

摘要

Objective To investigate the application of B-lynch suture during and postoperative cesarean section hemorrhage in patients with high risk pregnancy .Methods A retrospective analysis of clinical data of 100 patients with a risk of maternal bleeding tendency from January 2011 to December 2013 in our hospital was performed .The patients were randomly divided into observation and control groups,50 in each of the group.The two groups underwent cesarean section operation using conventional methods under general anesthesia.To prevent the postpartum hemorrhage ,the control group was treated with conventional suture method while the observation group was treated with B-lynch suture.Bleeding volume and treatment effect were compared between the two groups after 2 and 24 hours of operation.Results Bleeding volume after 2 and 24 hours of operation in the observation group was all less than that in the control group.Blood hemoglobin concentrations after 24 hours in the observation group was significantly higher than that in the control group (P<0.05).In the both group,the involution of uterus was good and abdominal incision was class II /A healing.There were no complica-tions such as intestinal obstruction after operation .Conclusion B-lynch suture is a simple and proper hemostasis method in clinical practice.It has a good clinical value ,and is worthy of clinical promotion .%目的：探讨高危妊娠剖宫产术中及术后出血时 B－lynch 缝合术的应用。方法2011年1月至2013年12月在成都市金牛区妇幼保健院就诊的高危妊娠剖宫产住院产妇，其中50例术中行 B－lynch 缝合术（观察组），另50例术中未行 B－lynch 缝合术，采用常规治疗方法（对照组），两组剖宫产操作均采用连续硬膜外麻醉下子宫下段横切口。比较两组产妇术后2小时和24小时出血量及治疗效果。结果观察组产后2小时及24小时出血量均明显少于对照组，24小时检测血红蛋白明显高于对照组，差异有统计学意义（P ＜0．05）。两组均术后子宫复旧良好，腹部切口Ⅱ／甲愈合，在院时均无肠梗阻等并发症发生。结论B－lynch 缝合术是临床上一种简单有效的止血方法，有较好的临床应用价值，值得临床推广。