[1]钟英*,曹金丽,段芳芹,等.两种子宫压迫缝合术治疗难治性产后出血的 临床疗效比较[J].中国计划生育和妇产科,2020,(8):59-61.
　ZHONG Ying*,CAO Jinli,DUAN Fangqin,et al.Comparison of clinical efficacy of two kinds of uterine compression sutures for refractory postpartum hemorrhage[J].Chinese Journal of Family Planning & Gynecotokology,2020,(8):59-61.
点击复制

两种子宫压迫缝合术治疗难治性产后出血的 临床疗效比较
分享到：

《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2020年8期
页码:
59-61
栏目:
论著与临床
出版日期:
2020-08-25

文章信息/Info

Title:
Comparison of clinical efficacy of two kinds of uterine compression sutures for refractory postpartum hemorrhage
作者:
钟英*; 曹金丽; 段芳芹; 唐慧君; 彭晓瑛; 孙聿君
成都市金堂纺织妇产医院妇产科
Author(s):
ZHONG Ying*; CAO Jinli; DUAN Fangqin; TANG Huijun; PENG Xiaoying; SUN Yujun
Department of Obstetrics and Gynecology, Chengdu Jintang Textile Maternity Hospital， Chengdu Sichuan 610404，P.R.China
关键词:
产后出血; BLynch 缝合术; 晨笛网压缝合术
Keywords:
postpartum hemorrhage; BLynch suture; Chendi network compression suture
分类号:
R 71446+1
摘要:
目的比较两种子宫压迫缝合术治疗难治性产后出血的临床疗效。方法回顾性分析2012年3月至2018年5月成都市金堂纺织妇产医院收治的54例行剖宫产术、难治性产后出血患者的临床资料，27例行晨笛网压缝合术患者为研究组， 27例行BLynch 缝合术患者为对照组。比较两组患者临床治疗效果。结果研究组27例患者均实现子宫保留，子宫保全率100 %，对照组22例保留子宫，子宫保全率815 %，两组比较差异有统计学意义(P＜005)；研究组患者术中出血量、术后2 h出血量、术后输血比例、住院天数均少于对照组，差异有统计学意义（P<005）。结论晨笛网压缝合术对剖宫产难治性产后出血患者具有良好的止血效果，对保全患者子宫具有明显治疗优势。
Abstract:
ObjectiveTo compare the clinical efficacy of two kinds of uterine compression sutures for refractory postpartum hemorrhage (PPH). MethodsThe clinical data of 54 patients undergoing cesarean section and refractory postpartum hemorrhage treated in Chengdu Jintang Textile Maternity Hospital from March 2012 to May 2018 were retrospectively analyzed.27 patients underwent Chendi network compression suture were the study group, and 27 patients underwent BLynch suture were the control group. The clinical treatment effects of the two groups of patients were compared.ResultsAll 27 patients in the study group achieved uterine preservation with a uterine preservation rate of 100 % (27/27), while 22 patients in the control group retained uterus with a uterine preservation rate of 815 % (22/27). There was a statistically significant difference between the two groups (P<005)，the amount of intraoperative blood loss, 2 hours postoperative blood loss, postoperative blood transfusion ratio, and length of hospital stay were lower in the study group than in the control group, and the differences were statistically significant (P<005).ConclusionThe Chendi network compression suture has a good hemostatic effect on patients with refractory postpartum hemorrhage of cesarean section, and has obvious therapeutic advantages for preserving the uterus of patients.

参考文献/References:

［1］熊庆，梁娟．孕产妇死亡率及死亡构成的变化趋势［J］．实用妇产科杂志，2010，26（1）：12． ［2］王晨笛，李莉，李南，等．子宫网压缝合术在难治性产后出血中的初步应用 ［J］．实用妇产科杂志，2016，32（2）：138143． ［3］吴晓兰，郑高明．新式缝合术与宫腔填塞术在剖宫产出血中的比较 ［J］．浙江临床医学，2016，18（7）：12311233． ［4］王晨笛，卢晓红，李莉，等．晨笛网压缝合术治疗难治性产后出血的临床疗效及安全性观察［J］．中国实用妇科与产科杂志，2016，32（7）：658662． ［5］Condous GS, Arulkumaran S. Medicaland conservative surgical management of postpartum hemorrhage ［J］. Br J Obstet Gynaecol Can, 2003, 25(11): 931936. ［6］罗方媛，陈锰，张力，等．难治性产后出血的五种止血手术疗效的比较及止血失败原因分析［J］．中华妇产科杂志，2012，47（9）：641645． ［7］B LB, Coker A, Lawal AH, et al. l the BLynch surgical technique for the control of massive postpartum haemorrhage:an alternative to hysterectomy five cases reported ［J］. Br J Obstet Gynaecol, 1997(104): 372375. ［8］Allahdin S, Aird C, Danielian P. BLynch sutures for major primary postpartum haemorrhage at caesarean section ［J］. J Obstet Gynaecol, 2006, 26(7): 639642. ［9］李兰，李佳琦．子宫网压缝合在难治性产后出血患者中的疗效及对创伤应激状态的影响观察［J］．中国妇幼保健，2017，32（3）：601603． ［10］廖伟年，张津坤，李力．产后出血转诊与救治研究进展［J］．中国计划生育和妇产科，2018，10（2）：48．

相似文献/References:

[1]刘素琼,乔莉,余劲,等.产后出血相关因素分析[J].中国计划生育和妇产科,2009,(05):0.
　LIU Su-qiong,QIAO Li,YU Jin The department of gynaecology and obstetrics,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2009,(8):0.
[2]何怡,赵可文,唐莉,等.卡孕栓防治妊娠期高血压疾病产后出血的疗效观察[J].中国计划生育和妇产科,2010,(02):0.
　HE Yi,ZHAO Ke-wen,TANG LiMCH hospital of Dongguan city,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2010,(8):0.
[3]王明玉,冯菊昌.缩宫素联合钙剂和米索前列醇预防及治疗产后出血的临床分析[J].中国计划生育和妇产科,2010,(03):0.
　WANG Ming-yu,FENG Ju-chang..[J].Chinese Journal of Family Planning & Gynecotokology,2010,(8):0.
[4]李波.161例产后出血的原因分析及预防[J].中国计划生育和妇产科,2010,(04):0.
　LI Bo Intensive care unit,Chengdu gynaecology and obstetrics hospital,Chengdu Sichuan 00,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2010,(8):0.
[5]陈倩,段成城,全望华,等.欣母沛、葡萄糖酸钙和缩宫素联合预防剖宫产产后出血疗效观察[J].中国计划生育和妇产科,2010,(04):0.
　CHEN Qian,DUAN Cheng-cheng,QUAN Wang-hua,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2010,(8):0.
[6]杨立黔.凶险型前置胎盘临床危害分析[J].中国计划生育和妇产科,2011,(04):0.
　YANG Li-qian.[J].Chinese Journal of Family Planning & Gynecotokology,2011,(8):0.
[7]姚云华,谢芸.超常胎盘部位反应致严重产后出血1例[J].中国计划生育和妇产科,2011,(04):0.
[8]张玲,张燕,聂世书,等.药物防治子宫收缩乏力性产后出血的研究进展[J].中国计划生育和妇产科,2012,(01):0.
　ZHANG Ling*,ZHANG Yan,NIE Shi-shu,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2012,(8):0.
[9]于长莉,王昊珏.应用益母草注射液联合缩宫素预防产后出血的临床分析[J].中国计划生育和妇产科,2012,(02):0.
　YU Chang-li,WU Hao-jue.[J].Chinese Journal of Family Planning & Gynecotokology,2012,(8):0.
[10]卢月琴.分娩镇痛在产程中的应用探讨[J].中国计划生育和妇产科,2013,(01):0.
　LU Yue-qin.[J].Chinese Journal of Family Planning & Gynecotokology,2013,(8):0.

备注/Memo

备注/Memo:
四川省卫生和计划生育委员会适宜技术推广项目（项目编号：18SYJS02）；四川省卫生和计划生育委员会科研课题（项目编号：18PJ069）
更新日期/Last Update: 2020-08-25