Effect of Uterine Artery Ascending Branch Ligation and B-Lynch Suture on Hemostasis Success Rate and Ovarian Hemodynamics in Patients with Postpartum Hemorrhage after Cesarean Section
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％)(x2=0.510,P=0.475).The amount of bleeding at 2 h and 24 h after operation in the obser-vation 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 opera-tion,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 su-ture can improve the hemostatic effect of PPH patients after cesarean section,reduce the incidence of complications,and accelerate the recovery of ovarian function.
Cesarean sectionPostpartum hemorrhageLigation of ascending branch of uterine arteryB-Lynch sutureOvarian hemodynamics
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