子宫背带式缝合术在重度子痫前期患者剖宫产术中的必要性研究

Abstract

Objectives: To explore the necessity of the application of B-lynch suturing technique (brace suture) combined with uterotonics during C-section in patients in early stage of severe eclampsia. Methods: 216 subjects were selected in study group to receive B-Lynch suturing technique during C-section while 282 subjects were selected in control group to receive traditional suturing technique. The duration of C-section procedure, the incidence of postpartum hemorrhage, the hemorrhage volume, the puerperal morbidity and therapeutic effect between the two groups were compared. Results: The clinical results of the study group was remarkable, and there was a significant statistical difference of the postpartum hemorrhage volume, the incidence of postpartum hemorrhage, anemia and blood transfusion between the two groups ( p <0.05). No subject has either undergone a second surgical intervention, hysterectomy or experienced other complications in the study group. The uterus of the subjects of the study group returned to normal in due time and their menstruation reappeared normally. Conclusion: The B-Lynch suturing technique has many advantages such as: simplicity of application, quick hemostasis, life-saving potential, relative safety and capacity for preserving the uterus and subsequent fertility. Its application in patients with early stage severe eclampsia can prevent the incidence of postpartum hemorrhage, anemia and subsequent blood transfusion. It is an effective method to prevent post C-section hemorrhage in patients with severe eclampsia.