摘要
目的探讨子宫动脉上行支结扎术与B-Lynch缝合术在产后出血中的应用效果。方法回顾性分析2012年1月至2014年1月中国人民解放军第二O二医院妇产科收治的98例因剖宫产术中大出血保守治疗无效而采取手术止血的产妇的临床资料,按照不同治疗方法分为A组(68例)和B组(30例)。A组采用B-Lynch缝合术治疗,B组采用双侧子宫动脉上行支结扎治疗,上述两种方法无效时,采取子宫切除术。结果 A组成功止血64例(94.12%)、4例患者采取子宫全切或次全切手术治疗,无1例死亡;B组成功止血29例(96.67%)、1例采用次全切手术治疗,无1例死亡。两组产妇手术止血成功率比较差异无统计学意义(P>0.05)。两组产妇术中出血量、输血量、手术时间、住院时间比较差异无统计学意义(P>0.05)。两组产妇术后恶露持续时间、月经复潮时间、第一次月经量、产后月经周期比较差异无统计学意义(P>0.05)。两组产妇产后12个月的FSH、LH、E2水平比较差异无统计学意义(P>0.05)。结论子宫动脉上行支结扎术与B-Lynch缝合术在治疗产后出血中均有较好的止血效果。
Objective To investigate the application effect of uterine artery ligation and B - Lynch suture in postpartum hemorrhage. Methods The clinical data of 98 cases in PLA 202 Hospital from January 2012 to January 2014 was retrospectively analyzed, due to postpartum hemorrhage failed to respond to conservative treatment and take surgical hemostasis maternal, according to different treatment methods, the cases were divided into group A （n = 68 ） and group B （n = 30）. The cases in group A were treated by uterine arcuate artery ligation surgery, The cases in group B were treated by cervical anterior or posterior wall single - layer ＂ U＂ suture, the above two methods is invalid, with hysterectomy. Results Successful hemostasis in 64 cases of group A （94. 12 % ）, take hysterectomy or subtotal surgery in 4 cases, no cases died, successful hemostasis in 29 cases of group B （96.67 % ）, take subtotal surgery in 1 case, no cases died. The difference in patients＇ surgical hemostasis successful rate was not statistically significant between two groups （P 〉 0. 05）. The difference in blood loss, blood transfusion, operative time, hospital stay were not statistically significant between two groups （ P 〉 0. 05 ）. The difference in after lochia duration menstruation time, the amount of first menstruation, postpartum menstrual cycle observations were not statistically significant between two groups （P 〉 0. 05 ）. The difference in patients of 12 months postpartum FSH, LH, E2 levels were not statistically significant between two groups （ P 〉 0. 05 ）. Conclusion Uterine artery ligation and B - Lynch suture in the treatment of postpartum hemorrhage were had better hemostatic effect.
出处
《中国计划生育和妇产科》
2015年第11期22-25,共4页
Chinese Journal of Family Planning & Gynecotokology
