Cook双球囊联合改良B-Lynch缝合术对产后出血的治疗效果观察

目的:探讨Cook双球囊联合改良B-Lynch缝合术对产后出血的治疗效果。方法:选取2015年6月～2018年6月在我院经剖宫产术分娩并发生产后出血的产妇81例进行回顾性分析。根据术中止血方法的不同分为两组,对照组40例采用Cook双球囊进行止血,观察组41例在对照组的基础上应用改良B-Lynch缝合术进行止血。对两组患者的手术相关指标、止血成功率、子宫切除率、术后恢复情况和并发症发生情况进行比较。结果:观察组的术中出血量、术后24 h出血量和输血量显著低于对照组(P0.05),止血时间显著短于对照组(P0.05);观察组患者的止血成功率显著高于对照组(P0.05),子宫切除率和切口恢复时间显著低于对照组(P0.05),两组患者的住院时间和并发症发生率比较无统计学差异(P0.05)。结论:Cook双球囊联合改良B-Lynch缝合术对剖宫产产后出血患者的临床效果显著优于单用Cook双球囊,且安全性较高。

Effect of Cook Double Balloon Combine with Modified B-lynch Suture on the Postpartum Hemorrhage

ABSTRACT Objective: To explore the effect of Cook double balloon combine with modified B-lynch suture on postpartum hemorrhage. Methods: A retrospective analysis was performed on 81 cases of postpartum hemorrhage in the cesarean section delivered in our hospital from June 2015 to June 2018. The patients were divided into two groups according to different hemostasis methods. The control group was treated with Cook''s double balloon hemostasis, and the observation group was treated with improved B-lynch suture on the basis of control group. The indicators related to surgery, success rate of hemostasis, uterine excision, postoperative recovery and complications were compared between the two groups. Results: The intraoperative blood loss, postoperative blood loss and blood transfusion amount of the observation group were significantly lower than the control group, and the hemostatic time was significantly shorter than the control group(P<0.05). The success rate of hemostasis in the observation group was significantly higher than that of the control group, while the uterine excision rate and incision recovery time were significantly lower than that of the control group(P<0.05). No statistical difference was found in the length of hospital stay and the incidence of complications between the two groups(P>0.05). Conclusion: Cook double balloon surgery combined with improved B-lynch suture can significantly enhance the hemostatic effect with high safety than cook double balloon surgery alone for the postpartum hemorrhage patients after cesarean section.