Effect of annular suture of placental plasmomuscular layer combined with B-Lynch uterine binding in the prevention and treatment of postpartum hemorrhage
ZHU Jinming1 MA Chunling1 LI Ya′nan2 PENG Fengyun1 LUAN Xiaomei1 LI Yinghui1 DU Changjiang1 LI Qing1
1.Department of Obstetrics, Xuzhou Maternal and Child Health Care Hospital Affiliated to Xuzhou Medical University,Jiangsu Province, Xuzhou 221000, China;
2.Graduate School, Xuzhou Medical University, Jiangsu Province, Xuzhou 221000, China
Abstract:Objective To investigate the effect of placental sarcomuscular annular suture combined with B-Lynch uterine suture in the prevention and treatment of postpartum hemorrhage.Methods A retrospective analysis was performed on the clinical data of 93 women who underwent cesarean section and delivered in Xuzhou Maternal and Child Health Hospital affiliated to Xuzhou Medical University from January 2020 to June 2021.They were divided into control group(40 cases) and observation group (53 cases) according to the treatment method.The control group was treated with cesarean section combined with B-Lynch uterine suture.Observation group received annular suture in placenta on the basis of control group, and the intraoperative and postoperative blood loss at 24 h were compared between the two groups.Results The intraoperative and 24 h postoperative blood loss in the observation group were lower than those in the control group, and the differences were statistically significant (P<0.05).Conclusion The annular suture of placental plasmomuscular layer combined with B-Lynch uterine suture can significantly reduce the promote postoperative recovery.
朱锦明;马春玲;李亚楠; 彭凤云;栾晓梅;李颖慧;杜长江;李青. 胎盘部位浆肌层环形缝扎术联合B- Lynch 子宫缝合防治产后出血的效果[J]. 中国当代医药, 2021, 28(36): 116-118转122.
ZHU Jinming;MA Chunling; LI Ya′nan;PENG Fengyun;LUAN Xiaomei;LI Yinghui;DU Changjiang; LI Qing. Effect of annular suture of placental plasmomuscular layer combined with B-Lynch uterine binding in the prevention and treatment of postpartum hemorrhage. 中国当代医药, 2021, 28(36): 116-118转122.
Kallianidis AF,Schutte JM,van Roosmalen J,et al.Maternal Mortality After Cesarean Section in the Netherlands[J].Eur J Obstet Gynecol Reprod Biol,2019,74(3):139-141.
[8]
B-Lynch C,Coker A,Lawal AH,et al.The B-Lynch surgical technique for the control of massive postpartum haemorrhage:an alternative to hysterectomy Five cases reported[J].Br J Obstet Gynaeco,1997,104(3):372-375.