摘要
目的研讨子宫动脉上行支结扎+B-lynch缝合术对剖宫产产后出血(Postpartum Hemorrhage,PPH)患者止血成功率、卵巢血液动力学的影响。方法选取2022年3月—2024年3月在安溪县妇幼保健院行剖宫产手术且发生PPH的患者100例,按照处理方案不同划分成两组,每组50例。对照组行子宫动脉上行支结扎术,观察组基于对照组手术条件施加B-lynch缝合术,比较两组止血成功率、出血情况、并发症发生情况以及卵巢血液动力学指标。结果观察组止血成功率(100.00%)与对照组(96.00%)相比,差异无统计学意义(χ^(2)=0.510,P=0.475)。观察组术后2 h、24 h出血量少于对照组,出血时间短于对照组,差异有统计学意义(P均<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。术后1、3个月,观察组各项卵巢血液动力学指标优于对照组,差异有统计学意义(P<0.05)。结论子宫动脉上行支结扎+B-lynch缝合术能提升剖宫产PPH患者的止血效果,减少并发症发生,加快患者术后卵巢功能恢复。
Objective To investigate the effect of uterine artery ascending branch ligation and B-Lynch suture in the treatment of postpartum hemorrhage(PPH)after cesarean section on the success rate of hemostasis and ovarian hemo⁃dynamics.Methods 100 patients with PPH undergoing cesarean section in Anxi County Maternal and Child Health Hospital from March 2022 to March 2024 were selected and divided into two groups according to different treatment schemes,50 cases in each group.The control group received uterine artery ascending branch ligation,and the observa⁃tion group received B-Lynch suture based on the operation conditions of the control group.The success rate of hemo⁃stasis,bleeding,complications and ovarian hemodynamics were compared between the two groups.Results There was no statistically significant difference in the success rate of hemostasis between the observation group(100.00%)and the control group(96.00%)(χ^(2)=0.510,P=0.475).The amount of bleeding at 2 h and 24 h after operation in the observation group was less than that in the control group,and the bleeding time was shorter than that in the control group,the differences were statistically significant(all P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).At 1 and 3 months after operation,the ovarian hemodynamic indexes in the observation group were better than those in the control group,and the differences were statistically significant (P<0.05).Conclusion uterine artery ascending branch ligation+ B-Lynch suture can improve the hemostatic effect of PPH patients after cesarean section, reduce the incidence of complications, and accelerate the recovery of ovarian function.
作者
宋宝英
李涓
陈曲珍
SONG Baoying;LI Juan;CHEN Quzhen(Department of Obstetrics and Gynecology,Anxi County Maternal and Child Health Hospital,Quanzhou,Fujian Province,362400 China)
出处
《中外医疗》
2024年第15期44-47,共4页
China & Foreign Medical Treatment
