A comparative study for modified B-Lynch suture and uterine packing for the treatment of uterine atony postpartum hemorrhage
10.3760/cma.j.issn.1008-6706.2014.22.035
- VernacularTitle:改良 B-lynch 缝合术与宫腔填塞治疗宫缩乏力性产后出血疗效比较
- Author:
Xiaolan WANG
- Publication Type:Journal Article
- Keywords:
Postpartum hemorrhage;
B-Lynch suture;
Uterine packing
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;(22):3445-3447
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the curative effects for modified B-Lynch suture and uterine packing for the treatment of uterine atony postpartum hemorrhage.Methods 82 patients with uterine atony postpartum hemorrhage were randomly divided into the two groups,the observation group(n=41) and the control group(n=41).The patients in the observation group were operated through modified B-Lynch suture,while the patients in the control group were operated through uterine packing.For both groups,operative time,blood loss,blood transfusion,whether hysterectomy, puerperal morbidity,three diameter of the uterus were compared.Results Postoperative lochia without exception,no serious complications and adverse reactions occurred incision Ⅱ/A healed.The total effective rate was 100.0%. There were three cases of the control group after surgery which were ineffective hysterectomy surgery to stop bleeding, the total effective rate was 92.7%.There were significant differences between the two groups (χ2 =4.720, P <0.05).In the observation group,operative time,blood loss,blood transfusion,puerperal morbidity and hysterectomy rates were less than those of the control group (t=4.924,2.776,3.065,χ2 =5.690,4.780,P<0.05,P<0.01). The bservation group after 7d uterus three diameter were greater than that of the control group (t=2.169,P<0.05), in the 30d and 42d of the two groups,there were no significant differences in three diameter of the uterus ( t=0.624, 0.582,all P>0.05).Conclusion Treatment effect through modified B-Lynch suture for cesarean section uterine atony postpartum hemorrhage was significantly better than the uterine packing method.
