摘要
目的：探讨低位B—Lynch缝合术对前置胎盘剖宫产术月经周期恢复及性激素水平的影响。方法：选取河北省张家口市沽源县人民医院2013年8月～2015年8月因前置胎盘行剖宫产术40例患者进行分析，随机分为观察组和对照组，观察组采用B-Lynch缝合术，对照组采用纱条宫腔填塞术，观察两组术中及术后24h出血情况及产后恶露持续时间与月经周期恢复情况，测定两组产后卵泡刺激素（FSH）、雌二醇（E2）、黄体生成激素（LH）等性激素水平。结果：观察组术中、术后24h出血量少于对照组，差异有统计学意义（P〈0．05）；两组恶露持续时间及月经周期恢复情况比较，差异无统计学意义（P〉0．05）；两组FSH、E2、LH水平比较，差异无统计学意义（P〉0．05）。结论：低位B-Lynch缝合术可有效治疗前置胎盘剖宫产术引起的大出血，对月经恢复及卵巢功能无明显影响，其操作简单，术后并发症少，值得临床推广应用。
Objective： To explore the effect of low B-Lynch suture on the menstrual cycle recovery and sex hormone lev- els in patients after cesarean section for placenta previa. Methods： A total of 40 patients who were admitted in our hospital from August, 2013 to August, 2015 for cesarean section due to placenta previa were ineluded in the study and randomized into the observation group and the control group. The patients in the observation group were given low B-lynch suture, while in the control group and yarns were plugged in the uterus. The bleeding during operation and 24 h after operation, the postpartum lo- ehia duration, and menstrual cycle recovery in the two groups were observed. The postpartum FSH, E2, and LH levels in the two groups were determined. Results： The amount of bleeding during operation and 24 h after operation in the observation group was significantly less than that in the eontrol group （P〈0.05）. The comparison of lochia duration, and menstrual cycle recovery between the two groups was not statistically significant （P〉0.05）. The comparison of FSH, E2, and LH levels be- tween the two groups was not statistically significant （P〉0.05）. Conclusions： Low B-Lynch suture ean effectively reduce the amount of bleeding after cesarean section for placenta previa, and has no effect on the menstrual recovery and ovarian function with a simple operation and less postoperative complications; therefore, it deserves to be widely recommended in the clinic,
出处
《海南医学院学报》
CAS
2016年第5期460-462,共3页
Journal of Hainan Medical University
基金
河北省张家口市计划外科研(20160045)~~
