摘要
目的探讨应用改良B-Lynch缝合术处理剖宫产术后出血的临床效果分析及安全性评估。方法回顾性分析我院2010年3月至2012年4月应用改良B-Lynch缝合术预防和治疗剖宫产术后出血的50例患者的临床资料,另选取同期接受单纯性剖宫产手术的50例患者的临床资料,对比分析两种手术方式应对剖宫产术后出血的临床效果及安全性。结果行改良B-Lynch缝合术的50例剖宫产患者中,30例为预防性应用,20例为治疗性应用;所有患者成功止血,总有效率为100%(50/50);预防性应用和治疗性应用的患者在手术时间、产后出血量、术后体温、血象、抗菌素使用时间、住院天数、医疗费用及月经恢复时间等方面与单纯性剖宫产孕妇相比无明显差异(P>0.05)。结论应用改良B-Lynch缝合术预防和治疗剖宫产术后出血可以获得很好的临床疗效,且安全性及可行性与单纯性剖宫产手术相当,值得在临床上推广。
Objective To discuss the application of modified B-Lynch on the treatment ot postpartum hemorrhage in caesarean, and to evaluate the feasibility and safety in the clinical field. Methods A retrospective analysis was performed on the clinical data of 50 patients with postpartum hemorrhage in caesarean who were treated by the modified B-Lynch in our hospital from March 2010 to April 2012. Another fifty patients who were treated by the single surgery for caesarean at the same time were selected to be the control group. Then the clinical efficacy and safety of different methods of preventing hemorrhage were compared and analyzed. Results There were thirty patients who were treated by modified B-Lynch for prevention and the other twenty patients for therapy among all the fifty patients. All the patients were hemostasis by modified B-Lynch successfully with the effective rate of 100% （50/50）. In terms of the operation time, blood loss, temperature, hemogram, use of antibiotics, hospitalization, costs and recovery for menses, there were no statistically significant differences between two groups （P 〉 0. 05）. Conclusions It is suggested that the application of modified B-Lynch on the prevention and treatment for postpartum hemorrhage in caesarean could be well promoted with the clinical efficacy, feasibiliw and safety that were equal to the single surgery for caesarean.
出处
《齐齐哈尔医学院学报》
2013年第19期2850-2851,共2页
Journal of Qiqihar Medical University
