首页|改良Cho缝合术与B-Lynch缝合术治疗剖宫产产后出血患者的效果比较

改良Cho缝合术与B-Lynch缝合术治疗剖宫产产后出血患者的效果比较

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目的:比较改良Cho缝合术与B-Lynch缝合术治疗剖宫产产后出血患者的效果.方法:回顾性分析 2020 年 5 月至 2023 年5月在该院行剖宫产分娩的70例产妇的临床资料,根据子宫缝合方法不同将其分为观察组和对照组各35例.对照组采用B-Lynch缝合术,观察组采用改良Cho缝合术.比较两组止血效果,术中、产后2 h、产后24 h出血量,手术时间,产后恶露持续时间,以及并发症发生率.结果:观察组治疗总有效率为 94.74%(36/35),高于对照组的 78.12%(25/35),差异有统计学意义(P<0.05);观察组术中及产后 2、24 h出血量均少于对照组,手术时间、产后恶露持续时间均短于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05).结论:改良Cho缝合术治疗剖宫产产后出血可提高止血效果,减少术中及产后出血量,缩短手术时间及产后恶露持续时间,效果优于B-Lynch缝合术治疗.
Comparison of effects of modified Cho suture and B-Lynch suture in treatment of patients with postpartum hemorrhage after cesarean section
Objective:To compare effects of modified Cho suture and B-Lynch suture in treatment of patients with postpartum hemorrhage after cesarean section.Methods:The clinical data of 70 parturients who underwent cesarean section in the hospital from May 2020 to May 2023 were retrospectively analyzed.According to the different methods of uterine suture,they were divided into observation group and control group,35 cases in each group.The control group was treated with B-Lynch suture,while the observation group was treated with modified Cho suture.The hemostatic effect,the bleeding volume during operation,2 h and 24 h after delivery,the operation time,the duration of postpartum lochia,and the incidence of complications were compared between the two groups.Results:The total effective rate of the observation group was 94.74%(36/35),which was higher than 78.12%(25/35)of the control group,and the difference was statistically significant(P<0.05).The amount of bleeding during operation and 2 and 24 h after delivery in the observation group was less than that in the control group,the operation time and the duration of postpartum lochia were shorter than those in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:Modified Cho suture in the treatment of postpartum hemorrhage after cesarean section can improve the hemostatic effect,reduce the amount of intraoperative and postpartum hemorrhage,and shorten the operation time and the duration of postpartum lochia.Moreover,it is superior to B-Lynch suture.

Modified Cho sutureB-Lynch sutureUterine compression sutureCesarean sectionPostpartum hemorrhage

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厦门市中医院妇产科,福建 厦门 361009

改良Cho缝合术 B-Lynch缝合术 子宫压迫缝合术 剖宫产 产后出血

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(12)
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