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目的探讨改良B-Lynch缝合术在剖宫产术中宫缩乏力性产后出血的临床效果。方法选取2012年9月至2013年9月剖宫产术中宫缩乏力性产后出血患者148例,随机分为两组,每组74例。对照组行常规手术治疗,观察组行改良B-Lynch缝合术手术治疗。比较两组手术时间及术中出血量。结果对照组手术时间为(69.7±16.8)min,观察组为(53.1±14.8)min;对照组手术出血量为(1185.3±223.1)ml,观察组为(684.9±121.1)ml,两组比较差异均有统计学意义(P<0.05)。结论改良B-Lynch缝合术在剖宫产术中宫缩乏力性产后出血的临床效果显著,手术时间较短,术中出血量较少,并发症较少。
Objective To investigate the clinical effect of modified B-Lynch suture in uterine atony after cesarean section. Methods 148 patients with uterine atony during cesarean section from September 2012 to September 2013 were randomly divided into two groups with 74 cases in each group. Control group underwent routine surgery, the observation group underwent modified B-Lynch suture surgery. The operation time and intraoperative blood loss were compared between the two groups. Results The operation time of the control group was (69.7 ± 16.8) min and that of the observation group was (53.1 ± 14.8) min, that of the control group was (1185.3 ± 223.1) ml and that of the observation group was (684.9 ± 121.1) ml, All were statistically significant (P <0.05). Conclusion The clinical effect of improved B-Lynch suture in uterine atony after cesarean delivery is obvious. The operation time is short, the amount of bleeding during operation is small, and the complication is less.