摘要
目的探讨不同止血方法对剖宫产术后子宫收缩乏力性出血的临床疗效。方法 60例行剖宫产手术且术后发生子宫收缩乏力性出血患者,根据治疗方法不同分为A组(采用B-Lynch缝合术治疗)和B组(采用双侧子宫动脉上行支结扎术治疗),每组30例。比较两组的术中出血量、有效止血率、手术时间,术后随访12个月,比较两组双侧子宫动脉阻力指数(RI)及收缩期最大血流速度/舒张末期最小血流速度比值(S/D)。结果两组术中出血量及有效止血率比较差异均无统计学意义(P>0.05);A组手术时间(52.7±10.8)min显著短于B组的(61.6±12.9)min,差异具有统计学意义(P<0.05)。术后随访12个月,两组双侧子宫动脉RI及S/D比较差异无统计学意义(P>0.05)。结论 B-Lynch缝合术、双侧子宫动脉上行支结扎术治疗剖宫产术后子宫收缩乏力性出血均具有较好的临床效果及预后,而B-Lynch缝合术的手术时间更短。
Objective To discuss the clinical effect of different hemostasis methods for uterine atony hemorrhage after cesarean section. Methods A total of 60 cases with cesarean section were selected and suffered from uterine atony hemorrhage after surgery. They were divided into group A and group B according to the different methods of treatment, 30 cases in each group. Group A was treated with B-Lynch suture technique, group B was treated with bilateral superior branch of uterine artery ligation. The intraoperative bleeding volume, effective hemostasis rate and operative time were compared between the two groups. Follow-up of 12 months after surgery, the resistance index（RI） and systolic maximum blood flow velocity/end diastolic minimum blood velocity ratio（S/D） of the bilateral uterine arteries were compared between the two groups. Results There were no statistically significant differences in the intraoperative bleeding volume and effective hemostasis rate between the two groups（P〈0.05）. The operative time of group A was（52.7±10.8） min, which was significantly shorter than（61.6±12.9） min of group B, the difference was statistically significant（P〈0.05）. Follow-up of 12 months after surgery, there were no statistically significant differences in the RI and S/D of the bilateral uterine arteries between the two groups（P〈0.05）. Conclusion B-Lynch suture technique and bilateral superior branch of uterine artery ligation for the treatmnent of uterine atony hemorrhage after cesarean section have good clinical effect and prognosis, while the operative time of B-Lynch suture technique is shorter.
作者
岑振考
CEN Zhen-kao(Department of Obstetrics and Gynecology,Dongguan Dongkeng Hospital,Dongguan 523450,Chin)
出处
《中国现代药物应用》
2018年第14期6-8,共3页
Chinese Journal of Modern Drug Application
