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

Abstract
Figure/Table
References (17)
Related Citation (15)

Download: PDF (0 KB) HTML (32 KB)
Export: BibTeX | EndNote (RIS)

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.

Key words： Caesarean section Postpartum hemorrhage Placental adhesion Placenta previa B-Lynch suture Annular suture of the plasmomuscular layer of placenta

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHU Jinming
	MA Chunling
	LI Ya′nan
	PENG Fengyun
	LUAN Xiaomei
	LI Yinghui
	DU Changjiang
	LI Qing

Cite this article:

ZHU Jinming,MA Chunling,LI Ya′nan, et al. Effect of annular suture of placental plasmomuscular layer combined with B-Lynch uterine binding in the prevention and treatment of postpartum hemorrhage[J]. 中国当代医药, 2021, 28(36): 116-118转122.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I36/116

[1]	谢幸，孔北华，段涛.妇产科学[M].9 版.北京：人民卫生出版社，2018：204.
[2]	Committee on Practice Bulletins-Obstetrics.Practice bulletin NO.183：postpartum hemorrhage[J].Obstet Gynecol，2017，130（4）：e168-e186.
[3]	张雷，徐辉，张纪，等.剖宫产术中无明确归类产后出血原因分析[J].临床军医杂志，2021，49（3）：334-335.
[4]	张栋栋，王德朋，翟乃良，等.子宫颈周围环扎下子宫下段“断流式” 缝合在凶险性前置胎盘剖宫产术中的应用研究[J].中国实用妇科与产科杂志，2021，37（3）：367-372.
[7]	马宏伟，刘兴会.产后出血病因构成的变迁及应对措施[J].实用妇产科杂志，2021，37（3）：165-168.
[9]	吴红霞，张明洁.子宫背带式缝合术在剖宫产产后出血中的疗效[J].中国继续医学教育，2021，13（6）：99-102.
[10]	孙笑，黄艳，张慧婧，等.B-Lynch 缝合术处理宫缩乏力产后出血的疗效及对远期生育力的影响[J].中华围产医学杂志，2016，19（12）：910-913.
[11]	吴立华.子宫背带式缝合术治疗剖宫产术中产后出血的临床效果及对手术时间的影响[J].中国现代医生，2020，58（12）：72-74，78.
[5]	江苏省妇幼保健协会妇产介入专业委员会，江苏省医学会介入医学分会妇儿学组.产后出血管理与介入干预策略——江苏共识（2019）[J].介入放射学杂志，2020，29（1）：1-8.
[6]	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.
[12]	王志坚，曹艳文，孟凡良，等.子宫前壁切除及修补术治疗凶险性前置胎盘并胎盘植入疗效研究[J].中国实用妇科与产科杂志，2017，33（9）：970-974.
[13]	于晓川.不同子宫下段缝合方式对再次妊娠孕妇子宫下段瘢痕厚度及并发症的影响[J].中国当代医药，2021，2（28）：94-97
[14]	周文正，程永红，周玮，等.止血带宫颈环扎法在剖宫产产后出血防治中的应用效果[J].华中科技大学学报（医学版），2020，49（6）：741-743.
[15]	刘海意，林星光，乌剑利，等.子宫下段多方位螺旋式缝合成形术在凶险性前置胎盘中的应用[J].中华妇产科杂志，2016，51（10）：754-758.
[16]	汤斐，周勇，赵云.环子宫下段缝合术治疗凶险性前置胎盘伴胎盘植入性疾病的临床疗效[J].中华妇幼临床医学杂志（电子版），2020，16（2）：239-244.
[17]	陈先侠，郑晨旻，刘德红，等.Bakri 球囊宫腔填塞联合宫颈环扎术治疗完全性前置胎盘产后出血研究，第二军医大学学报[J].2021，42（2）：228-230.