ABSTRACT
Objective To compare the clinical curative effect of B-Lynch suture and intrauterine gauze packing in the treatment of intractable postpartum hemorrhage.Methods 118 patients with refractory postpartum hemorrhage after cesarean section were selected,they were randomly divided into observation group(n=59)and the control group(n=59)according to the digital table.The observation group was treated by the B-Lynch suture,the control group was given intrauterine gauze packing treatment.The operation effect,incision healing time and complications were compared between the two groups.Results The operation time,intraoperative blood loss,postoperative 24h blood loss,blood transfusion amount of the control group were(51.25±9.15)min,(1 672.09±378.53)mL,(443.72±112.29)mL,(1 737.21±472.16)mL respectively,which of the observation group were(38.35±8.58)min,(1 177.18±332.64)mL,(123.47±24.17)mL,(1 165.17±352.15)mL,respectively,the differences between the two groups were statistically significant(t=7.899,7.544,7.899,7.544,all P<0.05).The success rate of hemostasis,blood transfusion rate,uterus resection rate,recovery time of incision,length of hospital stay in the control group were 66.10%,71.18%,20.34%,(9.64±1.39)d,(11.14±2.18)d,respectively,which in the observation group were 86.44%,55.93%,6.78%,(7.25±1.28)d,(8.13±1.55)d,respectively,the differences between the two groups were statistically significant(x2=11.429,5.020,7.846,t=9.715,8.643,all P<0.05).The incidence rate of complication of the control group was 67.79%,which of observation group was 18.64%,the difference between the two groups was statistically significant(x2=49.221,P<0.05).The total effective rate of the control group was 72.88%,which was lower than 93.22% of the observation group(x2=14.695,P<0.05).Conclusion The B-Lynch suture in the treatment of postoperative intractable hemorrhage can improve the effect of treatment,promote patients' early resumption of incision,reduce the length of hospital stay,decrease incidence of complications,which is better than intrauterine gauze packing.